CARISSA ANNETTE ELLSWORTH PHYSICIAN ASSISTANT
NPI 1831458744
Physician Assistant - Medical in Layton, UT
About Carissa Annette Ellsworth Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA ANNETTE ELLSWORTH PHYSICIAN ASSISTANT (NPI 1831458744) is an individual medical provider in Layton, Utah, licensed in North Dakota (PAC-0481) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pleasant View, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Carissa Annette Ellsworth Physician Assistant 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.
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.
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.
LAYTON, UT 84041
LAYTON, UT 84041
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 Carissa Ellsworth's NPI number?
The NPI number for Carissa Ellsworth is 1831458744. It was assigned to this individual provider in the NPPES registry on May 11, 2012.
Where is Carissa Ellsworth located?
Carissa Ellsworth practices at 1600 W Antelope Dr, Layton, UT 84041. The listed phone number is (801) 807-7177.
What is Carissa Ellsworth's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Carissa Ellsworth enrolled in Medicare?
Yes. Carissa 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 Carissa Ellsworth accept?
Health plans from Medica, Oscar Health Plan, Inc. and Select Health list Carissa 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 Carissa Ellsworth was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Carissa Annette Ellsworth, PHYSICIAN ASSISTANT · NPI 1831458744
Medical physician in Layton, Utah. Individual provider, active in the CMS NPPES registry since May 11, 2012.
## Identity
- **NPI:** 1831458744 (Entity type: Individual)
- **Enumerated:** May 11, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PAC-0481 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 W ANTELOPE DR, Layton, UT 84041-1142
- **Phone:** (801) 807-7177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831458744) · Data from the CMS NPPES public registry.