Individual provider Active NPI

Elaine Celeste Jones, MD

  • Neurology Physician
  • Fort Wayne, IN
National Provider Identifier
1912965864
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01075283A Issued in IN
Practice address
11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone
(260) 425-6780
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01075283A IN Primary
Neurology Physician 2084N0400X MD10088 RI
Neurology Physician 2084N0400X 156060 MA
Neurology Physician 2084N0400X 0101259560 VA

Addresses

Primary practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Mailing address

814 Metacom Ave
Bristol, RI 02809-5160
Phone (401) 396-5200

Other practice location 1

814 Metacom Ave
Bristol, RI 02809-5160
Phone (401) 396-5200

Other practice location 2

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 3

262 N Binkley St
Soldotna, AK 99669-7522
Phone (907) 714-4090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejones1240999@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, SD, VT, MA, KY, NM7 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

Enrollment IDStateProvider typePAC IDDetails
I20180924002064 OH Practitioner - Neurology 4789622358 Reassigns benefits to 2 organizations
I20220525001125 FL Practitioner - Neurology 4789622358
I20241122002149 SD Practitioner - Neurology 4789622358 Reassigns benefits to 1 organization
I20241218001692 VT Practitioner - Neurology 4789622358 Reassigns benefits to 1 organization
I20241219003184 MA Practitioner - Neurology 4789622358
I20250107002519 KY Practitioner - Neurology 4789622358 Reassigns benefits to 1 organization
I20250122001700 NM Practitioner - Neurology 4789622358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101259560VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Neurology CurrentSince Aug 13, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Aug 13, 2018 Accepting new patients
Access Telecare California, P.C. Neurology PastSince Sep 18, 2023 Accepting new patients

Locations

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

Interoperability endpoints

  • Direct secure messaging: ejones1240999@ak.providencedirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1912965864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095160",
            "telephone_number": "401-396-5200",
            "fax_number": "401-396-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451673",
            "telephone_number": "260-425-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Metacom Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "RI",
            "postal_code": "028095160",
            "country_code": "US",
            "telephone_number": "401-396-5200",
            "fax_number": "401-396-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "262 N Binkley St",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697522",
            "country_code": "US",
            "telephone_number": "907-714-4090",
            "fax_number": "855-712-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELAINE",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01075283A",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD10088",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "156060",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101259560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejones1240999@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "262 N Binkley St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.