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Jamie Ellsworth , SLP

Speech-Language Pathologist β€’ Bloomington, IL

Active NPI 1467570432 Individual Practitioner Female Practitioner
Practice location in NPPES

501a S Towanda Barnes Rd Ste 2
Bloomington, IL 617054031

Call 2173794864 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501a S Towanda Barnes Rd Ste 2

Bloomington, IL 617054031

Telephone 2173794864
Organization at the Same NPPES Address or Phone
Gibson Community Hospital Association Facility NPI 1881413714

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jamie Ellsworth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bloomington and Illinois

62 active clinicians are listed under Speech-Language Pathologist with a practice address in Bloomington, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 62 clinicians have the CMS telehealth indicator.

1.6% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146008388

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20190809000499

Enrollment State Jurisdiction

IL

PECOS Control ID

7810224136

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Justi Hudson , FNP-BC

Nurse Practitioner - Family

NPI 1497300206

Family Nurse Practitioner (Board Certified)

NPI 1467088377

Doctor of Medicine (M.D.)

Dr. Donald Reese , MD

Family Medicine

NPI 1053632406

Doctor of Medicine (M.D.)

Andrea Stark , APRN

Nurse Practitioner - Family

NPI 1568247229

Advanced Practice Registered Nurse

Wamaitha Sullivan , FNP-BC

Nurse Practitioner - Family

NPI 1689908220

Family Nurse Practitioner (Board Certified)

Dr. Hunter Temple , DO

Family Medicine

NPI 1962150888

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 18, 2026

Registered at 501A S TOWANDA BARNES RD STE 2, BLOOMINGTON, IL 617054031 (Tel: 2173794864)

πŸ“
Updated Business Mailing Address February 18, 2026

Registered at 1120 N MELVIN ST, GIBSON CITY, IL 609361477 (Tel: 2177844251)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Speech-Language Pathologist (license number reported to NPPES: IL 146008388)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 700 E WALNUT ST, BLOOMINGTON, IL 617013244 (Tel: 3098278004)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 803 S EAST ST, BLOOMINGTON, IL 617016704 (Tel: 3098278004)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JAMIE ELLSWORTH, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467570432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: February 18, 2026
Sole Proprietor: No

Mailing Address

1120 N Melvin St

Gibson City, IL 609361477

Phone: 2177844251

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.