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

Jesse Ellsworth

Individual provider Emergency Medicine Physician · NPI 1063827582

Jesse Ellsworth is an Emergency Medicine in Saginaw, Michigan. Qualified in 2014, 12 years ago. Practices with Kernersville Emergency Group, PLLC, a 52-clinician group. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone: (989) 583-6800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301106067 (MI)

Record details

NPI number1063827582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014
Mailing address1000 Houghton Ave, Saginaw, MI 48602-5303

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kernersville Emergency Group, Pllc — 52 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Saginaw