ALYSSA ELLSWORTH DDS
NPI 1508243775
Dentist - General Practice in Boulder, CO

Q: What is Alyssa Ellsworth's NPI number?

The NPI number for Alyssa Ellsworth is 1508243775. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Q: What is Alyssa Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Ellsworth was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 27, 2015PECOS Enrolled

4150 DARLEY AVE STE 3, BOULDER, CO 80305(303) 499-0013 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2019, Jun 28, 2016 (2 updates tracked since 2016).

On this page

About Alyssa Ellsworth Dds NPPES

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

ALYSSA ELLSWORTH DDS (NPI 1508243775) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (00202776) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508243775

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameALYSSA ELLSWORTHCredential: DDS

Location Address4150 DARLEY AVE STE 3Boulder, CO 80305-6537

Mailing Address2258 W 35th AveDenver, CO 80211-2908 · (314) 809-9609

Phone(303) 499-0013

Sole ProprietorNo

Enumeration DateApril 27, 2015

Last NPPES UpdateJanuary 9, 20192 updates tracked since enumeration

✔ NPI 1508243775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 00202776

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4150 DARLEY AVE STE 3, Boulder, CO 80305

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Alyssa Ellsworth Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PRIYA UPPAL DDS PLLC

Dentist

4150 DARLEY AVE STE 3
BOULDER, CO 80305

Boulder County (303) 499-0013

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 Alyssa Ellsworth's NPI number?

The NPI number for Alyssa Ellsworth is 1508243775. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Alyssa Ellsworth located?

Alyssa Ellsworth practices at 4150 Darley Ave Ste 3, Boulder, CO 80305. The listed phone number is (303) 499-0013.

What is Alyssa Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alyssa Ellsworth enrolled in Medicare?

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

What insurance does Alyssa Ellsworth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Alyssa 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 Alyssa Ellsworth was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.