Doctor profile · Federal record
Dr. Jared Ellsworth, PA
Physician Assistant · Ardmore, OK
- NPI 1821829821
- Accepts Medicare
- 2 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1104 Walnut Dr
Ardmore, OK 734012353
(580) 223-3411
fax (580) 226-2284
Credentials & registration
- NPI registered
- August 2024 — 2 yrs on file
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Oklahoma #5366
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821829821. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$55
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 2 | $36.65 | |
| Xeris Pharmaceuticals, Inc. | 1 | $17.89 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jared Ellsworth's medical specialty?
Dr. Jared Ellsworth practices Physician Assistant in Ardmore, OK.
Where does Dr. Jared Ellsworth practice?
Dr. Jared Ellsworth practices at 1104 Walnut Dr, Ardmore, OK 734012353. Office phone: 5802233411.
What is Dr. Jared Ellsworth's NPI?
Dr. Jared Ellsworth's National Provider Identifier (NPI) is 1821829821, issued by NPPES.
Does Dr. Jared Ellsworth accept Medicare assignment?
Yes. Dr. Jared Ellsworth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.