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

MS. Kelley Anne Ellsworth, PA-C

Individual provider Physician Assistant · NPI 1710541487

MS. Kelley Anne Ellsworth, PA-C is a Physician Assistant in Washington, District of Columbia. Qualified in 2019, 7 years ago. Practices with Vineyard Medical Care LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia and Massachusetts.

Years since qualifying
7
Licensed in
DC, MA
In the registry since
2019
Specialties on file
2
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

3301 New Mexico Ave NW Ste 205
Washington, DC 20016-3627
Phone: (202) 243-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3135 38th St Nw, Washington, DC 20016-3726 — (202) 744-4983
  • 364 State Rd, Vineyard Haven, MA 02568-5624 — (508) 693-4400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA031761 (DC)
Physician Assistant Taxonomy 363A00000X · Licence PA7445 (MA)

Record details

NPI number1710541487
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 27, 2019
Last updated in NPPESJune 15, 2022
Certification dateMay 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vineyard Medical Care Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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