Corwin Ryan Ellsworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1575 Issued in ID

Practice address

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-3721

Phone

(208) 736-7422

Fax

(208) 736-8905

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• C Ryan Ellsworth Professional name

Medicare fee-for-service enrollment

Enrolled in AZ, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Immediate Care of Twin Falls PAGroup PAC ID 0143460717, 9 clinicians

North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corwin.ellsworth@phmg.eclinicaldirectplus.com
• Direct secure messaging: corwin.ellsworth.1@29843.direct.athenahealth.com

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.

• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment Care Compare group
• Physicians Immediate Care of Twin Falls PA

  • Urgent Care Clinic/Center
  • Twin Falls, ID
  • NPI 1114141090
  Medicare reassignment Care Compare group
• Summit Healthcare Medical Associates

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1467878108
  Medicare reassignment
• North Canyon Medical Center, Inc.

  • Rural Health Clinic/Center
  • Buhl, ID
  • NPI 1568950566
  NPD
• North Canyon Medical Center, Inc.

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Eagar, AZ
  • NPI 1063166999
  NPD
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767
  NPD
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Saint Johns, AZ
  • NPI 1962166934
  NPD
• Page Family Medicine

  • Family Medicine Physician
  • Burley, ID
  • NPI 1487151882
  NPD (past)
• Pinetop Medical Associates LTD

  • Family Medicine Physician
  • Pinetop, AZ
  • NPI 1154453728
  NPD (past)
• Scott Hanson Pac

  • Physician Assistant
  • Pinetop, AZ
  • NPI 1033511464
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Care Compare affiliation

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1962634246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013721",
            "telephone_number": "208-736-7422",
            "fax_number": "208-736-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013721",
            "telephone_number": "208-736-7422",
            "fax_number": "208-736-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CORWIN",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20038569",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779548",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "ELLSWORTH",
            "middle_name": "RYAN",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elite Medicine PC
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• Julie A Ellis, PT
• Mark Dalton Ellis, LMSW
• Brandy Gail Emdin
• Valerie Jeannine Emery, BEHAVIORAL TECH
• Bret Paul Empey, PT, DPT
• Timothy Adam Enders, D.O.
• Dennis M Enomoto, MD

• Physician Assistant in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.