P Praxis·MD
● Active Type 1 · Individual

Corwin Ryan Ellsworth, PA-C

Physician Assistant·Twin Falls, ID· NPI 1962634246 · Enumerated 2009 · 16 years on NPI
Ellsworth is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
NPI age
16 years
Enumerated 2009-08-20
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
243 Cheney Dr W Ste 200
Twin Falls, ID 833013721
📞 2087367422fax 2087368905
Mailing address
243 Cheney Dr W Ste 200
Twin Falls, ID 833013721
📞 2087367422fax 2087368905

Specialties

  • Physician Assistant Primary
    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...
    ID license #PA-1575 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (ID) 20038569
05 (AZ) 779548

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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