Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corwin Ryan Ellsworth, PA-C

Individual provider Physician Assistant · NPI 1962634246

Corwin Ryan Ellsworth, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 2001, 25 years ago. Practices with Physicians Immediate Care of Twin Falls PA, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
25
Licensed in
ID
In the registry since
2009
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

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-3721
Phone: (208) 736-7422
Fax: (208) 736-8905
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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-1575 (ID)

Record details

NPI number1962634246
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 20, 2009
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address243 Cheney Dr W Ste 200, Twin Falls, ID 83301-3721

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Physicians Immediate Care Of Twin Falls Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Twin Falls