SKYLER ELLSWORTH PA-C
NPI 1932784386
Physician Assistant - Medical in Meridian, ID

Active since March 16, 2021PECOS EnrolledAccepts Medicare Assignment
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642(208) 884-3376(208) 884-0858 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 18, 2026, Jun 4, 2025, May 15, 2024 and 4 more (7 updates tracked since 2021).

About Skyler Ellsworth Pa-c NPPES

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

SKYLER ELLSWORTH PA-C (NPI 1932784386) is an individual medical provider in Meridian, Idaho, licensed in Idaho (PA-2207) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932784386
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSKYLER ELLSWORTHCredential: PA-C
Location Address1618 S MILLENIUM WAY STE 100Meridian, ID 83642-6457
Mailing Address2840 S Meridian RdMeridian, ID 83642-7960 · (208) 593-6393 · Fax (208) 593-6402
Fax(208) 884-0858
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 16, 2021
Last NPPES UpdateMay 18, 20267 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1932784386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-2207
1618 S MILLENIUM WAY STE 100, Meridian, ID 83642

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

Skyler 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 ID8820475312
PECOS Enrollment IDI20220523002483
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 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.
40 services26 patients
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.
23 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

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.

Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Dermatology (Pediatric Dermatology)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642

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 Skyler Ellsworth's NPI number?

The NPI number for Skyler Ellsworth is 1932784386. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Skyler Ellsworth located?

Skyler Ellsworth practices at 1618 S Millenium Way Ste 100, Meridian, ID 83642. The listed phone number is (208) 884-3376.

What is Skyler Ellsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Skyler Ellsworth enrolled in Medicare?

Yes. Skyler 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 Skyler Ellsworth accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Skyler 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 Skyler Ellsworth was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.