NPI age
5 years
Enumerated 2021-03-16
● Active
Type 1 · Individual
Skyler Ellsworth, PA-C
Ellsworth is 1 of 33 physician assistant providers in Meridian and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
5 years
↓ 10 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Practice location
1618 S Millenium Way Ste 100
Meridian, ID 836426457
Mailing address
2840 S Meridian Rd
Meridian, ID 836427960
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.