Carol Marie Ellsworth, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

187197 Issued in NC

Practice address

4389 Beaufort Rd
Cherry Point, NC 28533-0023

Phone

(252) 466-0120

NPI assigned

Feb 27, 2012

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1720352529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "285330023",
            "telephone_number": "252-466-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "285330023",
            "telephone_number": "252-466-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 476 Box 25",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963220001",
            "country_code": "US",
            "telephone_number": "315-252-2589",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "country_code": "US",
            "telephone_number": "910-450-4159",
            "fax_number": "910-450-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "187197",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "187197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gertrude Dixon, M.D., PHD
• Steven Michael Donohoe, IDC
• Juan Terrell Dozier, IDC
• Durham Vamc
• Arthur J Durham, D.C.
• Gareth James Evans
• Michael J Fedewa Jr., DO
• Norman Richard Fertig, PA-C
• Chelsey Nicole Flohe, LCSW, BCD
• Lucy Wright Futch, PHARMACIST

• Family Nurse Practitioner in Cherry Point, NC
• Providers in Cherry Point, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.