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

Brent Angel Ellsworth, PA-C

Individual provider Physician Assistant · NPI 1831412063

Brent Angel Ellsworth, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2009, 17 years ago. Practices with Ascend LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-844 (ID)

Record details

NPI number1831412063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2010
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ascend Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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