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MR. DONALD DEAN ELLSWORTH ARNP-BC
NPI 1528238540
Nurse Practitioner - Acute Care in Jacksonville, FL

Active since March 05, 2008PECOS Enrolled
100/100
CMS Quality Rating
800 PRUDENTIAL DR, TOWER B, 11TH FLOOR, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Donald Dean Ellsworth Arnp-bc NPPES

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

MR. DONALD DEAN ELLSWORTH ARNP-BC (NPI 1528238540) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (ARNP2151382) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528238540
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. DONALD DEAN ELLSWORTHCredential: ARNP-BC
Location Address800 PRUDENTIAL DR, TOWER B, 11TH FLOORJacksonville, FL 32207-8202
Mailing Address800 Prudential Dr, Tower B, 11th FloorJacksonville, FL 32207-8202 · (904) 388-6518 · Fax (904) 384-1005
Phone(904) 388-6518
Fax(904) 384-1005
Sole ProprietorNo
Enumeration DateMarch 5, 2008
Last NPPES UpdateJune 8, 2016
✔ NPI 1528238540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP2151382
800 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 2

Medicaid309007800FL
Medicare PINAL538ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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)

Mr. Donald Dean Ellsworth Arnp-bc 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 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier21 claims21 services$3,766.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIN M SCHOLZ MS CCC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
TERRI TURNER TOMLINSON MSC CC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
MICHELLE SENIA ANTONIO PT
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
ELIZABETH ANN POSTUPACK NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 244-4242
ALYSSA KAY MOULDS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
JAMEY MEDDERS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
DR. DAVID ANDREW HOLLOMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (843) 323-8883
MR. BRADLEY JAMES WINE RN
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000

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 Donald Ellsworth's NPI number?

The NPI number for Donald Ellsworth is 1528238540. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Donald Ellsworth located?

Donald Ellsworth practices at 800 Prudential Dr Tower B, 11th Floor, Jacksonville, FL 32207. The listed phone number is (904) 388-6518.

What is Donald Ellsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Donald Ellsworth enrolled in Medicare?

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

What insurance does Donald Ellsworth accept?

Health plans from Blue Cross Blue Shield of Wyoming list Donald 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 Donald Ellsworth was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.