Active NPI
Karen L. Ellingson, MD
- Student in an Organized Health Care Education/Training Program
- Safety Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607 - Phone
- (727) 725-6111
- NPI assigned
- Jan 11, 2007
- Last updated
- Apr 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Mailing address
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone (727) 861-0237
Other practice location 1
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone (727) 861-0237
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251230004086 | FL | Order and Referring Only - Internal Medicine | 0042316135 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.95 of 100
- Quality
- 78.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients | |
| Paragon Contracting Services LLC | Physician Assistant | Past | Accepting new patients |
| South Tampa Medical Group PA | Past | Accepting new patients | |
| Doctors at Home LLC | Past | Accepting new patients | |
| Access Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1912949561
-
- Primary Care Clinic/Center
- Brooksville, FL
- NPI 1790737922
-
dba COMBI (Comprehensive Occupational Medicine for Business & Industry)
- Occupational Medicine Clinic/Center
- Tampa, FL
- NPI 1134235872
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Physician Assistant
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1588718860
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743897600000",
"number": "1235289158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 FIVAY RD STE 340",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677181",
"telephone_number": "727-861-0237",
"fax_number": "727-861-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "727-725-6111"
}
],
"practiceLocations": [
{
"address_1": "14100 Fivay Rd Ste 340",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "FL",
"postal_code": "346677181",
"country_code": "US",
"telephone_number": "727-861-0237",
"fax_number": "727-861-0278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGSON",
"first_name": "KAREN",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.