Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Paul Ellsworth, DO

Family Medicine Physician in Mount Morris, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780786707

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Registry record

Entity type Individual (Type 1)

Name Charles Paul Ellsworth

Credential DO

Sex Male

Practice address 7057 N Clio Rd, Mount Morris, MI, 48458

Phone (810) 670-0200

Fax (810) 670-0196

Enumeration date Sep 1, 2006

Last updated in NPPES Dec 9, 2014

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5101015196 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
1051020	Other	MO	MCLAREN HEALTH PLAN
178241	Other	MN	GREAT LAKES HEALTH PLAN/UNITED HEALTHCARE
1780786707	Other	MN	MOLINA HEALTHCARE OF MICHIGAN
080G3610660	Other	MI	MICHIGAN BLUE CROSS BLUE SHIELD
1780786707	Medicaid	MI	-
381908328	Other	MI	HCAP
381908328-446	Other	MN	CARE SOURCE OF MICHIGAN
080G310660	Other	MI	BLUE CARE NETWORK OF MICHIGAN
0992950	Other	MI	HEALTH PLUS OF MICHIGAN
19870	Other	MI	HEALTH PLAN OF MICHIGAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Charles Ellsworth?

Charles Ellsworth is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Allan Ebert Family Medicine Physician · Mount Morris, MI NPI 1558463372 Genesys Integrated Group Practice PC Physical Therapist · Mount Morris, MI NPI 1902024334 Jannell Tillman Physical Therapist · Mount Morris, MI NPI 1124249180 Sacred Heart Rehabilitation Center, Inc Community/Behavioral Health Agency · Mount Morris, MI NPI 1821422262 Martin Skokan Physical Therapist · Mount Morris, MI NPI 1457768798

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-09.