DR. HEATHER ELLSWORTH MD
NPI 1942473335
Emergency Medicine in St Paul, MN
About Dr. Heather Ellsworth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER ELLSWORTH MD (NPI 1942473335) is an individual emergency medicine provider in St Paul, Minnesota, licensed in Minnesota (52983) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Medical College Of Wisconsin (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Dr. Heather Ellsworth Md 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ST PAUL, MN 55101
ST PAUL, MN 55101
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 Heather Ellsworth's NPI number?
The NPI number for Heather Ellsworth is 1942473335. It was assigned to this individual provider in the NPPES registry on April 8, 2008. The provider is also known as Heather Ellsworth Surtherland MD.
Where is Heather Ellsworth located?
Heather Ellsworth practices at 640 Jackson Street Regions Hospital, St Paul, MN 55101. The listed phone number is (651) 254-3456.
What is Heather Ellsworth's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Heather Ellsworth enrolled in Medicare?
Yes. Heather 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 Heather Ellsworth accept?
Health plans from Medica list Heather 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 Heather Ellsworth affiliated with any hospitals?
According to CMS data, Heather Ellsworth is affiliated with St Lukes Magic Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Ellsworth was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Heather Ellsworth, MD · NPI 1942473335
Emergency Medicine physician in St Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 8, 2008.
## Identity
- **NPI:** 1942473335 (Entity type: Individual)
- **Enumerated:** April 8, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 52983 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 640 JACKSON STREET, REGIONS HOSPITAL, St Paul, MN 55101
- **Phone:** (651) 254-3456
## 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:** Medical College Of Wisconsin, class of 2007
## Record status
- **NPPES last updated:** February 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1942473335) · Data from the CMS NPPES public registry.