Karen L. Ellingson, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Safety Harbor, FL

NPI 1235289158 · NPPES record last updated Apr 6, 2025

Key facts

NPI
1235289158
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone
(727) 725-6111
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100 (group)
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251230004086 FL Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
0042316135

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Tampa Medical Group PA Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Access Healthcare LLC Past Accepting new patients
Doctors at Home LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2025.

{
    "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

All providers in Safety Harbor, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.