BRENT ANGEL ELLSWORTH PA-C
NPI 1831412063
Physician Assistant in Idaho Falls, ID

Active since March 02, 2010PECOS EnrolledAccepts Medicare Assignment
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404(208) 419-3002(208) 656-5652 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent Angel Ellsworth Pa-c NPPES

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

BRENT ANGEL ELLSWORTH PA-C (NPI 1831412063) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (PA-844) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1831412063
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENT ANGEL ELLSWORTHCredential: PA-C
Location Address2001 S WOODRUFF AVE STE 9Idaho Falls, ID 83404-6371
Mailing Address2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371 · (208) 419-3002 · Fax (208) 656-5652
Fax(208) 656-5652
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 2, 2010
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
NPI 1831412063 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 ID · PA-844
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.

2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404

Accepted 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

Brent Angel Ellsworth Pa-c 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 ID1052560844
PECOS Enrollment IDI20121011000660
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services35 patients
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.
83 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 14

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

Physician Assistant (Medical)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Psychologist (School)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Counselor (Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Nurse Practitioner (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Clinical Nurse Specialist (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404

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 Brent Ellsworth's NPI number?

The NPI number for Brent Ellsworth is 1831412063. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Brent Ellsworth located?

Brent Ellsworth practices at 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404. The listed phone number is (208) 419-3002.

What is Brent Ellsworth's specialty?

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

Is Brent Ellsworth enrolled in Medicare?

Yes. Brent 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 Brent Ellsworth accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Brent 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 Brent Ellsworth was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.