JORDAN ELLSWORTH FNP-C
NPI 1285506774
Nurse Practitioner - Family in Charleston, SC
About Jordan Ellsworth Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ELLSWORTH FNP-C (NPI 1285506774) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (31035) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Ellsworth Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 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.
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 Jordan Ellsworth's NPI number?
The NPI number for Jordan Ellsworth is 1285506774. It was assigned to this individual provider in the NPPES registry on September 23, 2025.
Where is Jordan Ellsworth located?
Jordan Ellsworth practices at 135 Cannon St Fl 2, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Jordan Ellsworth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordan Ellsworth enrolled in Medicare?
Yes. Jordan 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.
Is Jordan Ellsworth affiliated with any hospitals?
According to CMS data, Jordan Ellsworth is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Jordan Ellsworth was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jordan Ellsworth, FNP-C · NPI 1285506774
Family physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since September 23, 2025.
## Identity
- **NPI:** 1285506774 (Entity type: Individual)
- **Enumerated:** September 23, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 31035 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 CANNON ST FL 2, Charleston, SC 29425-0100
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285506774) · Data from the CMS NPPES public registry.