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AMY L ELLSWORTH PAC
NPI 1487908786
Physician Assistant - Medical in Seattle, WA

Active since November 08, 2012PECOS Enrolled
1100 9TH AVE, SEATTLE, WA 98101(206) 583-2299 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2022, Oct 6, 2020 (2 updates tracked since 2020).

About Amy L Ellsworth Pac NPPES

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

AMY L ELLSWORTH PAC (NPI 1487908786) is an individual medical provider in Seattle, Washington, licensed in Washington (PA61202127) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487908786
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY L ELLSWORTHCredential: PAC
Location Address1100 9TH AVESeattle, WA 98101-2756
Mailing Address1100 9th Ave, M4-pfsSeattle, WA 98101-2756
Phone(206) 583-2299
Sole ProprietorNo
Enumeration DateNovember 8, 2012
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1487908786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA61202127
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-1022 (ID)
1100 9TH AVE, Seattle, WA 98101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 Ironwood Avenue, Suite 334Coeur d'Alene, ID 83814 · Phone (509) 838-2531 ext. 50975
Location 21919 Lincoln Way Ste 110Coeur D Alene, ID 83814-2527 · Phone (208) 625-4515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy L Ellsworth Pac 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

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.
12 services11 patients

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.

JACLYN ANN SUBKOVIAK OT
Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 341-0461
MARCIE G HUME PHARM.D.
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
King County (206) 223-6877
DR. VINAY GUPTA MD
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6980
MARY JO BUKOVIC CCP
Contractor
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
PEGAH SAFAEIAN D.O.
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
MRS. GENEVIEVE HOUDET-COTE SLP
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
King County (206) 341-0461
ROBERT DALE MCCLURE MD
Surgery
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
VIRGINIA MASON MEDICAL CENTER
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600

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 Amy Ellsworth's NPI number?

The NPI number for Amy Ellsworth is 1487908786. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Amy Ellsworth located?

Amy Ellsworth practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 583-2299.

What is Amy Ellsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Ellsworth enrolled in Medicare?

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

What insurance does Amy Ellsworth accept?

Health plans from PacificSource Health Plans list Amy 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 Amy Ellsworth was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.