MR. DONALD DEAN ELLSWORTH ARNP-BC NPI 1528238540

NPI Information

  • NPI: 1528238540
  • Provider Name: MR. DONALD DEAN ELLSWORTH, ARNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 PRUDENTIAL DR
    TOWER B, 11TH FLOOR
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 388-6518

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NPI Details

MR. Donald Dean Ellsworth, ARNP-BC is an acute care nurse practitioner in Jacksonville, FL. MR. Donald Dean Ellsworth, ARNP-BC NPI is 1528238540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 PRUDENTIAL DR
TOWER B, 11TH FLOOR
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 388-6518
Fax: (904) 384-1005

The NPI 1528238540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Fusion of spine in lower back (HCPCS:22612)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace (HCPCS:63042)
  • Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
  • Exploration of spine fusion (HCPCS:22830)

The enumeration date for this NPI number is 3/5/2008 and was last updated on 6/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareARNP2151382FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1309007800MEDICAIDFLORIDA
2AL538ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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