DR. PAMELA I ELLSWORTH M.D.
NPI 1417948647
Urology - Pediatric Urology in Orlando, FL

Q: What is Pamela Ellsworth's NPI number?

The NPI number for Pamela Ellsworth is 1417948647. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Q: What is Pamela Ellsworth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Ellsworth was last updated on January 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 05, 2005PECOS Enrolled

13535 NEMOURS PKWY, ORLANDO, FL 32827(407) 567-4000(407) 567-5924 Get Directions Write a Review

NPPES record last updated: January 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2018, Mar 17, 2017 (2 updates tracked since 2017).

On this page

About Dr. Pamela I Ellsworth M.d. NPPES

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

DR. PAMELA I ELLSWORTH M.D. (NPI 1417948647) is an individual pediatric urology provider in Orlando, Florida, licensed in Florida (ME129642) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417948647

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameDR. PAMELA I ELLSWORTHCredential: M.D.

Location Address13535 NEMOURS PKWYOrlando, FL 32827-7402

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102

Phone(407) 567-4000

Fax(407) 567-5924

Sole ProprietorNo

Enumeration DateNovember 5, 2005

Last NPPES UpdateJanuary 13, 20182 updates tracked since enumeration

✔ NPI 1417948647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in FL · ME129642✔ Licensed in MA · 150422

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License MD11894 (RI), 150422 (MA)

13535 NEMOURS PKWY, Orlando, FL 32827

Open in Google Maps ↗

Other Identifiers 4

Medicaid018993600FL

Other31017RI · Blue Shield

Medicaid3158667MA

MedicaidPE45993RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pamela I Ellsworth M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation

130 mi

Multi-Specialty

10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
703 clinicians in this Medicare group

NPI 1386658615 (904) 697-5628

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CARLOS A ARCHILLA MD

Anesthesiology

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 650-7715

DR. LISA SANTOS SPECTOR MD

Pediatrics (Developmental - Behavioral Pediatrics)

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 567-4000

HEATHER MCDONALD

Pediatrics

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 567-4000

MR. SAID RICARDO ACOSTA CRNA

Nurse Anesthetist, Certified Registered

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 567-4000

CHERYL KUBAS MS

Genetic Counselor, MS

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 650-7392

DR. MADELEINE DE REDING KRAUS MD

Pathology (Anatomic Pathology & Clinical Pathology)

13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL
ORLANDO, FL 32827

Orange County (407) 567-4000

KAITLYN HORINKO RD

Dietitian, Registered (Nutrition, Pediatric)

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 567-3130

NANCY CHAMBERS F.N.P.

Nurse Practitioner (Family)

13535 NEMOURS PKWY
ORLANDO, FL 32827

Orange County (407) 650-7617

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 Pamela Ellsworth's NPI number?

The NPI number for Pamela Ellsworth is 1417948647. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Where is Pamela Ellsworth located?

Pamela Ellsworth practices at 13535 Nemours Pkwy, Orlando, FL 32827. The listed phone number is (407) 567-4000.

What is Pamela Ellsworth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Pamela Ellsworth enrolled in Medicare?

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

Which organization bills Medicare for Pamela Ellsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Ellsworth reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). 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 Pamela Ellsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Ellsworth accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pamela 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 Pamela Ellsworth was last updated on January 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.