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

Dr. Heather Ellsworth, MD

Individual provider Emergency Medicine Physician · NPI 1942473335

Dr. Heather Ellsworth, MD is an Emergency Medicine in St Paul, Minnesota. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson Street Regions Hospital
St Paul, MN 55101
Phone: (651) 254-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 52983 (MN)

Record details

NPI number1942473335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2008
Last updated in NPPESFebruary 15, 2011
Mailing address640 Jackson Street, Regions Hospital, St Paul, MN 55101

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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