Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KENZIE ELLSWORTH FNP-C
NPI 1487577383
Nurse Practitioner - Family in San Tan Valley, AZ

Active since July 30, 2026
40773 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140(480) 684-5000 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenzie Ellsworth Fnp-c NPPES

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

KENZIE ELLSWORTH FNP-C (NPI 1487577383) is an individual family provider in San Tan Valley, Arizona, licensed in Arizona (235334) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1487577383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENZIE ELLSWORTHCredential: FNP-C
Location Address40773 N IRONWOOD DRSan Tan Valley, AZ 85140-7002
Mailing Address525 W Brown RdMesa, AZ 85201-3202 · (480) 684-5000
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
NPI 1487577383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 235334
40773 N IRONWOOD DR, San Tan Valley, AZ 85140

Other Providers at the Same Location NPPES 3

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

Physician Assistant
40773 N IRONWOOD DR
SAN TAN VALLEY, AZ 85140
Clinic/Center (Urgent Care)
40773 N IRONWOOD DR
SAN TAN VALLEY, AZ 85140
Clinic/Center (Urgent Care)
40773 N IRONWOOD DR
SAN TAN VALLEY, AZ 85140

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 Kenzie Ellsworth's NPI number?

The NPI number for Kenzie Ellsworth is 1487577383. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Kenzie Ellsworth located?

Kenzie Ellsworth practices at 40773 N Ironwood Dr, San Tan Valley, AZ 85140. The listed phone number is (480) 684-5000.

What is Kenzie Ellsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kenzie Ellsworth was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.