Tasha Ellsberry, APRN, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9344392 Issued in FL

Practice address

13453 N Main St Ste 104
Jacksonville, FL 32218-2773

Phone

(904) 773-4390

Fax

(941) 641-7089

NPI assigned

Sep 24, 2016

Last updated

Mar 21, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mental Health Resource Center IncGroup PAC ID 2567446982, 14 clinicians

Discovery Mental Health Services PAGroup PAC ID 7113310939, 4 clinicians

Amelia Behavioral Wellness LLCGroup PAC ID 6800218165, 3 clinicians

Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Amelia Behavioral Wellness LLC

  • Clinical Psychologist
  • Fernandina Beach, FL
  • NPI 1053944330
  Medicare reassignment Care Compare group NPD
• Author Health Professionals, PC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1740897321
  Medicare reassignment Care Compare group NPD
• Discovery Mental Health Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1023697745
  Medicare reassignment Care Compare group NPD
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Jacksonville, FL
  • NPI 1851407365
  Medicare reassignment Care Compare group NPD
• Sunshine Mental Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1629916218
  NPD Authorized official

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1013466697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W 20TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541703",
            "telephone_number": "904-930-9215",
            "fax_number": "941-641-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13453 N MAIN ST STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182773",
            "telephone_number": "904-773-4390",
            "fax_number": "941-641-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSBERRY",
        "first_name": "TASHA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9344392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9344392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Townsend Ellis, PA-C
• Robert G Ellison Jr., MD
• Eloisa Anne Ello-Esma, ARNP, FNP-BC
• Marylou V Ello, ARNP
• Joseph Ellow
• Donald Dean Ellsworth, ARNP-BC
• Oday Ata Elmanaseer, MD
• Omar Elmandouh, MD
• Walneshia Elmore, HOME HEALTH AID
• Abigaile Eloissaint

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.