CHARLENE A ELLSWORTH MD
NPI 1083877963
Internal Medicine in Riverside, RI

Q: What is Charlene Ellsworth's NPI number?

The NPI number for Charlene Ellsworth is 1083877963. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Q: What is Charlene Ellsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 09, 2008PECOS Enrolled

375 WAMPANOAG TRL, SUITE 301, RIVERSIDE, RI 02915(401) 649-4050(401) 649-4051 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2019, Sep 12, 2016 (2 updates tracked since 2016).

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About Charlene A Ellsworth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE A ELLSWORTH MD (NPI 1083877963) is an individual internal medicine provider in Riverside, Rhode Island, licensed in Rhode Island (MD14570) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083877963

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCHARLENE A ELLSWORTHCredential: MD

Location Address375 WAMPANOAG TRL, SUITE 301Riverside, RI 02915-2232

Mailing Address110 Elm StProvidence, RI 02903-4626 · (877) 771-7401 · Fax (401) 784-4902

Phone(401) 649-4050

Fax(401) 649-4051

Sole ProprietorNo

Enumeration DateJuly 9, 2008

Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration

✔ NPI 1083877963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD14570

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

375 WAMPANOAG TRL, Riverside, RI 02915

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene A Ellsworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

206 services109 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services50 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

26 services23 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims13 services$16.35 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers23 claims23 services$207.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LEVISS MD

Internal Medicine

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4020

THOMAS D DENUCCI M.D.

Internal Medicine (Gastroenterology)

375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915

Providence County (401) 649-4030

MRIGANKA SINGH M.D.

Internal Medicine (Geriatric Medicine)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4010

KRISTEN TILLQUIST DO

Internal Medicine (Nephrology)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4060

DONNA MARIE RONDEAU-MARZULLO NP

Nurse Practitioner (Gerontology)

375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915

Providence County (401) 649-4010

DR. ANKUR SHAH M.D.

Internal Medicine (Nephrology)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4060

REGINALD Y GOHH MD

Internal Medicine (Nephrology)

375 WAMPANOAG TRL, SUITE 302A
RIVERSIDE, RI 02915

Providence County (401) 649-4060

GABRIELLE HERMES BURKE NP

Nurse Practitioner (Family)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlene Ellsworth's NPI number?

The NPI number for Charlene Ellsworth is 1083877963. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Charlene Ellsworth located?

Charlene Ellsworth practices at 375 Wampanoag Trl Suite 301, Riverside, RI 02915. The listed phone number is (401) 649-4050.

What is Charlene Ellsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charlene Ellsworth enrolled in Medicare?

Yes. Charlene Ellsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Ellsworth was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.