Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jared Scott Ellsworth, PA

Physician Assistant in Ardmore, OK · enumerated 2024.

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

National Provider Identifier

1821829821

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Registry record

Entity type Individual (Type 1)

Name Jared Scott Ellsworth

Credential PA

Sex Male

Practice address 1104 Walnut Dr, Ardmore, OK, 73401

Phone (580) 223-3411

Fax (580) 226-2284

Enumeration date Aug 12, 2024

Last updated in NPPES Aug 12, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5366 (OK) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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 Jared Ellsworth?

Jared Ellsworth is registered in NPPES with the primary taxonomy of Physician Assistant. 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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Miguel Camacho-Garrido Pediatric Adolescent Medicine Physician · Ardmore, OK NPI 1770504037 Gina Hernandez Physician Assistant · Ardmore, OK NPI 1760403943 Thomas Mcculloh Family Medicine Physician · Ardmore, OK NPI 1407879661 Sharon Hall Family Nurse Practitioner · Ardmore, OK NPI 1972616183 Michael Carnahan Family Medicine Physician · Ardmore, OK NPI 1871607903 Miguel A. Camacho, MD P.C. Pediatrics Physician · Ardmore, OK NPI 1497862304 Melissa Cashman Clinical Psychologist · Ardmore, OK NPI 1871698514 Melissa Cashman, Ph.D.,P.C.,Inc. Clinical Psychologist · Ardmore, OK NPI 1497853774

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-12.