Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy L Ellsworth, PAC

Individual provider Physician Assistant · NPI 1487908786

Amy L Ellsworth, PAC is a Physician Assistant in Seattle, Washington. Works from 3 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1100 9th Ave
Seattle, WA 98101-2756
Phone: (206) 583-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814-2527 — (208) 625-4515
  • 700 Ironwood Avenue, Coeur D'Alene, ID 83814 — (509) 838-2531

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61202127 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA-1022 (ID)

Record details

NPI number1487908786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 8, 2012
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address1100 9th Ave, M4-Pfs, Seattle, WA 98101-2756

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