Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821829821 Individual Practitioner Male Practitioner

Jared Scott Ellsworth , PA

Physician Assistant • Ardmore, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jared Ellsworth, PA is a certified Physician Assistant practicing in Ardmore, OK. With approximately 2 years of clinical experience since completing medical education in 2024, Jared Ellsworth delivers high-quality medical care to the local community at 1104 WALNUT DR.

Jared Ellsworth is affiliated with Good Shepherd Community Clinic, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1104 Walnut Dr

Ardmore, OK 734012353

Telephone 5802233411
Fax 5802262284
Associated Practice Facility / Clinic
🏢 Miguel A. Camacho, Md P.c. Facility NPI 1497862304

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ardmore, OK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -13.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Ardmore, OK (1911 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellsworth (2 Years) 2 Yrs
Ardmore Specialty Average (15.3 Years) 15.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 5366

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Good Shepherd Community Clinic, Inc.

1104 Walnut Dr, Ardmore, OK 734012353

Phone: 5802233411

Good Shepherd Community Clinic, Inc.

20 12th Ave Nw, Ardmore, OK 734015722

Phone: 5802233411

Good Shepherd Community Clinic, Inc.

2401 N Commerce St, Ardmore, OK 734011280

Phone: 5802260543

Good Shepherd Community Clinic, Inc.

1116 Walnut Dr, Ardmore, OK 734012353

Phone: 5802233411

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Shawn Fadum , PA

Physician Assistant - Medical

NPI 1013374271

Physician Assistant

Tausha Shelton , ARNP-CNP

Nurse Practitioner - Family

NPI 1023251360

ARNPCNP

Dr. Carson Shearer , DO

Internal Medicine

NPI 1093037087

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Papin , MD

Internal Medicine

NPI 1134161821

Doctor of Medicine (M.D.)

Lacy Westfall , APRN-CNP

Nurse Practitioner - Women's Health

NPI 1184200669

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1184282329

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2024

Registered at 1104 WALNUT DR, ARDMORE, OK 734012353 (Tel: 5802233411)

📍
Updated Business Mailing Address August 12, 2024

Registered at 1104 WALNUT DR, ARDMORE, OK 734012353 (Tel: 5802233411)

👤
Provider Name / Credentials Updated August 12, 2024

Recorded as JARED ELLSWORTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Physician Assistant (License #5366 in OK)

🟢
Initial NPI Registration & Enumeration August 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821829821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2024
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

1104 Walnut Dr

Ardmore, OK 734012353

Phone: 5802233411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.