Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942302658 Individual Practitioner Female Practitioner

Shirley B Ellsworth , NP

Nurse Practitioner • Provo, UT

Professional Overview & Biography Verified Profile Summary

Shirley Ellsworth, NP is a registered healthcare professional specializing in Nurse Practitioner in Provo, UT. Practice services are available at 1055 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 202

Provo, UT 846043305

Telephone 8013742367
Fax 8014298015
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 2629084405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

19 Associated Practitioners
Vanessa Dexter , NP

Nurse Practitioner - Family

NPI 1063975613

Nurse Practitioner

Dr. Bruce Mcallister , MD

Radiology - Radiation Oncology

NPI 1144223835

Doctor of Medicine (M.D.)

Dr. Larry Ford , MD

Internal Medicine - Infectious Disease

NPI 1144434788

Doctor of Medicine (M.D.)

Dr. Marc Nuttall , MD

Internal Medicine - Hematology & Oncology

NPI 1144497322

Doctor of Medicine (M.D.)

Dr. Jay Bott , MD

Internal Medicine - Hematology & Oncology

NPI 1164524864

Doctor of Medicine (M.D.)

Joan Collett , NP

Nurse Practitioner - Adult Health

NPI 1164703328

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2007

Registered at 1055 N 500 W, SUITE 202, PROVO, UT 846043305 (Tel: 8013742367)

📍
Updated Business Mailing Address October 16, 2007

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548215)

👤
Provider Name / Credentials Updated October 16, 2007

Recorded as SHIRLEY ELLSWORTH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Nurse Practitioner (License #2629084405 in UT)

🟢
Initial NPI Registration & Enumeration September 02, 2006

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: 1942302658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: October 16, 2007
Sole Proprietor: No

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548215

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.