Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeanette Ilene Ellis, NURSEANESTHETIST

Individual provider Certified Registered Nurse Anesthetist · NPI 1184191363

Jeanette Ilene Ellis, NURSEANESTHETIST is a Certified Registered Nurse Anesthetist (CRNA) in Mount Vernon, Illinois. Qualified in 2018, 8 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

2 Good Samaritan Way Ste 205
Mount Vernon, IL 62864-2476
Phone: (618) 899-3869
Fax: (618) 899-3558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 118890 (IL)

Record details

NPI number1184191363
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEANESTHETIST
Sole proprietorNo
NPI enumeratedOctober 25, 2018
Last updated in NPPESOctober 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Vernon