Shawn Archie Ellis, NP
NPI 1932908431ActiveIndividual· Nurse Practitioner, Acute Care· Jackson, MI
Nurse Practitioner, Acute Care (NP) with Hurley Medical Center, practicing in Jackson, Michigan. Enrolled in Medicare as practitioner - nurse practitioner. Lists Hurley Medical Center as a hospital affiliation.
Overview
| NPI | 1932908431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Mar 10, 2025 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 4704362684 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hurley Medical CenterFlint, MI · 342 clinicians
Hospital affiliation
- Hurley Medical CenterFlint, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Acute Care providers in Jackson
- 1578124632
- 1235377516
- 1639694292
- 1194364554
- 1750781373
- 1033800057
- 1003066218
- 1952162836
- 1255371530
- 1750049078
- 1639915382
- 1588403463