Individual provider Active NPI

Paige Ellsworth, NP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1639987555
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
269281 Issued in AZ
Practice address
2221 W Pecos Rd Ste 6
Chandler, AZ 85224-4803
Phone
(480) 808-8869
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 269281 AZ Primary

Addresses

Primary practice location

2221 W Pecos Rd Ste 6
Chandler, AZ 85224-4803

Mailing address

2221 W Pecos Rd Ste 6
Chandler, AZ 85224-4803
Phone (480) 808-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18510 E San Tan Blvd
Suite 115
Queen Creek, AZ 85142-2206

21417 S 140TH St
Chandler, AZ 85286-9308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Healthcare Center PLLC CurrentSince Nov 30, 2025 Accepting new patients

Locations

18510 E San Tan Blvd
Ste 115
Queen Creek, AZ 85142
Phone (480) 442-3990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1639987555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W PECOS RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244803",
            "telephone_number": "480-808-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W PECOS RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244803",
            "telephone_number": "480-808-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "269281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.