Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeanette Ilene Ellis, NURSE ANESTHETIST

Certified Registered Nurse Anesthetist in Mount Vernon, IL · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184191363

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Registry record

Entity type Individual (Type 1)

Name Jeanette Ilene Ellis

Credential NURSE ANESTHETIST

Sex Female

Practice address 2 Good Samaritan Way Ste 205, Mount Vernon, IL, 62864

Phone (618) 899-3869

Fax (618) 899-3558

Enumeration date Oct 25, 2018

Last updated in NPPES Oct 25, 2018

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 118890 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jeanette Ellis practice?

The practice location on file with NPPES is in Mount Vernon, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jeanette Ellis?

The National Provider Identifier (NPI) for Jeanette Ellis is 1184191363, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Michael Perkins Certified Registered Nurse Anesthetist · Mount Vernon, IL NPI 1619546447 Jamie Compton Certified Registered Nurse Anesthetist · Mount Vernon, IL NPI 1023680972

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-25.