Jimmy Scott Ellis, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

46656 Issued in CO

Practice address

785 Russell St
Suite 100
Craig, CO 81625-2019

Phone

(970) 826-2420

Fax

(970) 826-2429

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in CO, TX, NH, CA, WA, AK, SD7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Obstetrics/Gynecology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg South Dakota PC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 37)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Obhg South Dakota PC

  • Obstetrics & Gynecology Physician
  • Rapid City, SD
  • NPI 1164110243

  Obstetrics & Gynecology, SD

  Medicare reassignment Care Compare group NPD
• Obhg Colorado, P.C.

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
  • NPI 1104116896

  CO, Obstetrics & Gynecology

  Medicare reassignment NPD
• Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1427154335

  NH

  Medicare reassignment NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198

  NH, Obstetrics & Gynecology

  Medicare reassignment NPD
• Franciscan Medical Group

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1093165334

  WA

  Medicare reassignment NPD
• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070

  WA

  Medicare reassignment NPD
• Longview Wellness Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1942269493

  Obstetrics & Gynecology, TX

  Medicare reassignment NPD
• Obhg Alaska, P.C.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1740697069

  AK, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769

  Obstetrics & Gynecology, TX

  Medicare reassignment NPD
• Obhg Washington, PC

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
  • NPI 1962729525

  Obstetrics & Gynecology, WA

  Medicare reassignment NPD
• Rushmore OB-GYN PC

  • Obstetrics & Gynecology Physician
  • Rapid City, SD
  • NPI 1316050214

  Obstetrics & Gynecology, SD

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monument Health Rapid City Hospital Inc

  • Psychiatric Hospital Unit
  • Rapid City, SD
  • NPI 1437531571

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1376922591

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1386022960

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1689052862

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1730568957

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1750663068

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1770982480

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rapid City, SD
  • NPI 1861469587

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1962198085

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital. Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1669850244

  Hospital

  Care Compare affiliation
• Rapid City Regional Hospital Inc

  • Hematology & Oncology Physician
  • Rapid City, SD
  • NPI 1063787083

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1609891795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 RUSSELL ST",
            "address_2": "SUITE 100",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-826-2420",
            "fax_number": "970-826-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 RUSSELL ST",
            "address_2": "SUITE 100",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-826-2420",
            "fax_number": "970-826-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JIMMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP61014771",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "14709",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6229",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "46656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609891795",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J3940",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159097801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE & SW LIFE&HEALT",
            "identifier": "133125100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "311819386790650000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3277999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00070099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7431448",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01936531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Rio Blanco County Health Service District
• Craig T. Eckroth, O.D.
• Brian P Edwards, D.M.D.
• Elevated Technologies LLC
• Lynae R Ellgen, LCSW
• Jona M Ely, NP
• Laurie Engelhardt, RPH
• Eyecare Specialties Inc.
• Tarissa Fears, L.M.T
• Neal L Fenton, DDS

• All providers in Craig, CO
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.