IndividualActive
Craig Ensign, MS-PAC
NPI 1760412605 · Medical Physician Assistant · Provo, UT
Provider details
- NPI number
- 1760412605
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS-PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 293156-8906 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1055 N 300 W Ste 316
Provo, UT 84604-3373
Phone: (801) 357-7530
Fax: (801) 357-7566
Street-level locationGet directions
Mailing address
1055 N 300 W Ste 316
Provo, UT 84604-3373
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.