Elizabeth Margaret Ennis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9105563 Issued in FL

Practice address

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679

Phone

(863) 299-2630

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Accountable Inpatient MedicineGroup PAC ID 5597090274, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

91.38 of 100Reported as group

Quality

87.5

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eennis430966@hisp.ehr.sutterhealth.org
• Direct secure messaging: elizabeth.ennis.p1@direct.cmcentersinc.nextgenshare.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.

• Accountable Inpatient Medicine

  • Internal Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1659936870
  Medicare reassignment Care Compare group
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group
• Michael D Boehm MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Plant City, FL
  • NPI 1649593773
  NPD (past)

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

• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Oviedo Medical Center, LLC

  • General Acute Care Hospital
  • Oviedo, FL
  • NPI 1245785567
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1063733376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 ANSLEY WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327578000",
            "telephone_number": "352-400-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Reynolds St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335634708",
            "country_code": "US",
            "telephone_number": "813-709-8567",
            "fax_number": "877-669-0266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "ELIZABETH",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PA-9105563",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002747500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRCME",
            "identifier": "1780221774",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "342264",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH PRESCRIBING",
            "identifier": "PAX 0008401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "YO5FR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergent Health Solutions LLC
• Emotional Wellness Therapy LLC
• Empower Support Services LLC
• Alice M Enault, O.T.
• Christopher Mark Englert, DPM
• Larissa Ann Ensign, LCSW
• Arnold Epel, MD
• Janet G Ergle, CRNA
• Ernesto J Perez MD LLC
• Deborah Ervin-Dawkins, RBT

• Physician Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.