JILL ELLSWORTH FNP-C
NPI 1790145910
Nurse Practitioner in Ellisville, MO

Q: What is Jill Ellsworth's NPI number?

The NPI number for Jill Ellsworth is 1790145910. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Q: What is Jill Ellsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Ellsworth was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 01, 2016PECOS Enrolled

16105 MANCHESTER RD, ELLISVILLE, MO 63011(314) 687-2718 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2020, Jun 21, 2016, Mar 1, 2016 (3 updates tracked since 2016).

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About Jill Ellsworth Fnp-c NPPES

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

JILL ELLSWORTH FNP-C (NPI 1790145910) is an individual nurse practitioner in Ellisville, Missouri, licensed in Missouri (2016002971) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in High Ridge.

NPPES Registry Identity

NPI1790145910

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJILL ELLSWORTHCredential: FNP-C

Location Address16105 MANCHESTER RDEllisville, MO 63011-2001

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(314) 687-2718

Sole ProprietorNo

Enumeration DateMarch 1, 2016

Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1790145910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2016002971

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2016002971 (MO)

16105 MANCHESTER RD, Ellisville, MO 63011

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Secondary Practice Location 1

Location 1324 Emerson RdHigh Ridge, MO 63049-2542 · Phone (636) 677-9977 · Fax (636) 677-9179

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Ellsworth Fnp-c 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 Jill Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compass Health, Inc.

8.9 mi

Federally Qualified Health Center (FQHC)

324 EMERSON RD
High Ridge, MO 63049

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Community Treatment Inc
26 clinicians in this Medicare group

NPI 1891040077 (636) 677-9977

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

62%47 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

49%77 patients3/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

13%32 patients1/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

13%349 patients1/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

MRS. CORTNEY RENAE ROBINSON PHARMD

Pharmacist