Chelsea Lee Ellsworth, DNP, FNP-C, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9404070-4405 Issued in UT

Practice address

6932 E 1400 S
Fort Duchesne, UT 84026

Phone

(435) 725-6850

Fax

(435) 725-6897

NPI assigned

Feb 22, 2021

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Lee Malnar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1487248373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "840260160",
            "telephone_number": "435-725-6850",
            "fax_number": "435-725-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 E 1400 S",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-725-6850",
            "fax_number": "435-725-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CHELSEA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9404070-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MALNAR",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dhew Ind HLTH SV HLTH SVS&Mntal HLTH Adm (Fort Duchesne PHS Indian Health Center)
• Dhew Ind HLTH SVCS & MNTL HLTH SVCS
• DHHS IHS Phoenix Area (Unitah & Ouray Health Center)
• DHHS IHS Phoenix Area (Uintah & Ouray Health Center)
• William P Durant, MD
• Chace Thomas Erickson, PHARMD
• James Kevin Farrell, RPH
• Fort Duchesne Indian Health Center Laboratory
• Fort Duchesne Indian Health Center Radiology
• Juanita M Fox, RN, CDE

• Family Nurse Practitioner in Fort Duchesne, UT
• Providers in Fort Duchesne, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.