DR. JESSICA ELLSWORTH AU.D.
NPI 1205426483
Audiologist in Houston, TX
About Dr. Jessica Ellsworth Au.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSICA ELLSWORTH AU.D. (NPI 1205426483) is an individual audiologist in Houston, Texas, licensed in Texas (81183) and active in the NPI registry since January 2021. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jessica Ellsworth Au.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77058
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 Jessica Ellsworth's NPI number?
The NPI number for Jessica Ellsworth is 1205426483. It was assigned to this individual provider in the NPPES registry on January 21, 2021.
Where is Jessica Ellsworth located?
Jessica Ellsworth practices at 17625 El Camino Real Ste 155, Houston, TX 77058. The listed phone number is (281) 809-6008.
What is Jessica Ellsworth's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Jessica Ellsworth enrolled in Medicare?
Yes. Jessica Ellsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Ellsworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Ellsworth reassigns Medicare benefits to Intermountain Ear,nose, And Throat Specialists LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Ellsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Ellsworth accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 3 other insurers list Jessica Ellsworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessica Ellsworth was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jessica Ellsworth, AU.D. · NPI 1205426483
Audiologist provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since January 21, 2021.
## Identity
- **NPI:** 1205426483 (Entity type: Individual)
- **Enumerated:** January 21, 2021
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 81183 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 17625 EL CAMINO REAL STE 155, Houston, TX 77058-3085
- **Phone:** (281) 809-6008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Intermountain Ear,nose, And Throat Specialists LLC (NPI 1487764411, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205426483) · Data from the CMS NPPES public registry.