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
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Practice location Address checks out

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

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