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JARED SCOTT ELLSWORTH PA
NPI 1821829821
Physician Assistant in Ardmore, OK

Active since August 12, 2024PECOS EnrolledAccepts Medicare Assignment
1104 WALNUT DR, ARDMORE, OK 73401(580) 223-3411(580) 226-2284 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jared Scott Ellsworth Pa NPPES

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

JARED SCOTT ELLSWORTH PA (NPI 1821829821) is an individual physician assistant in Ardmore, Oklahoma, licensed in Oklahoma (5366) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821829821
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED SCOTT ELLSWORTHCredential: PA
Location Address1104 WALNUT DRArdmore, OK 73401-2353
Mailing Address1104 Walnut DrArdmore, OK 73401-2353 · (580) 223-3411 · Fax (580) 226-2284
Phone(580) 223-3411
Fax(580) 226-2284
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1821829821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 5366
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1104 WALNUT DR, Ardmore, OK 73401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Jared Scott Ellsworth Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537690771
PECOS Enrollment IDI20240930001180
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 17

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

SHAWN FADUM PA
Physician Assistant (Medical)
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
LAUREN VE BATTLES
Case Manager/Care Coordinator
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
MRS. DAPHNEE MARIE JONES PA-C
Physician Assistant
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
FAMILY HEALTH SKILLED SERVICES LLC
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
GERI G HAYES
Social Worker
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
JESSICA DAWN ROUSEY PHARMD
Pharmacist
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
DR. CAMERON PAUL LANCARTE MD
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543
THOMAS W MCCULLOH DO
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401
Carter County (580) 226-0543

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 Jared Ellsworth's NPI number?

The NPI number for Jared Ellsworth is 1821829821. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Jared Ellsworth located?

Jared Ellsworth practices at 1104 Walnut Dr, Ardmore, OK 73401. The listed phone number is (580) 223-3411.

What is Jared Ellsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Ellsworth enrolled in Medicare?

Yes. Jared Ellsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Ellsworth accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jared 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.

Is Jared Ellsworth affiliated with any hospitals?

According to CMS data, Jared Ellsworth is affiliated with Mercy Hospital Ardmore, Inc.

When was this NPI record last updated?

The NPPES record for Jared Ellsworth was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.