Active NPI
Elaine Celeste Jones, MD
- Neurology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01075283A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259560 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Neurology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Access Telecare California, P.C. | Neurology | Past | Accepting new patients |
Locations
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
Neurology
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
- Neurology Physician
- Dallas, TX
- NPI 1861959959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.