Nicolas Robert Ellsworth
Physician Assistant · Maryville, TN
Nicolas Robert Ellsworth is a physician assistant with a practice address in Maryville, Tennessee, and NPI 1477365823, issued on Jan 23, 2025. Check the license with the Tennessee board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Nicolas Robert Ellsworth
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1610 Madison Ave, Maryville, TN 37804
- Phone
- (480) 322-5741
- Enumerated
- Jan 23, 2025
- Record last updated
- Jan 23, 2025
- Medicare enrollment
- Enrolled (PECOS I20260506000568); may accept Medicare assignment
- Entity
- Type 1 · individual
Verify Nicolas Robert Ellsworth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26 physician assistant records list a practice address in Maryville
They are 26 of the 1,317 NPPES records with a practice address in Maryville, and 3,055 physician assistant records in Tennessee. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 26 in Maryville → All 3,055 in Tennessee → Every provider in Maryville →
Other physician assistant records in Tennessee
- Katrina Aardema, PA-CGallatin, TN1679039010
- Anum Abbas, PAMemphis, TN1548048671
- Samir AbdeljawadNashville, TN1396674370
- Rojin Abdullah, PA-CNashville, TN1982292447
- Cecilia Abello, PA-CNashville, TN1760336101
- Jadie Abendroth, PA-CMemphis, TN1073815742
- Marina Abraham, PA-CNashville, TN1316696370
- Merielle AbreuThompsons Station, TN1467048876
- Amanda Absher, PA-CMaryville, TN1144430794
- Seth Achey, PABristol, TN1437213857
Common questions
What is Nicolas Robert Ellsworth's NPI number?
Nicolas Robert Ellsworth's National Provider Identifier (NPI) is 1477365823, issued on Jan 23, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Nicolas Robert Ellsworth located?
The NPPES record lists a practice address at 1610 Madison Ave, Maryville, TN, 37804. Phone: (480) 322-5741. Providers update this record themselves, so call before visiting.
How can I verify Nicolas Robert Ellsworth's license?
Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.