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
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.95 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251230004086 | FL | Order and Referring Only - Internal Medicine |
0042316135 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Phillip Dilan Ebanks
- Kaitlyn M Edmondson
- Eduardo Palanca MD PA
- Marion A. Edwards
- Stephen Ekman
- Gwen B Enfield
- Kerry Englert
- Esther L Klein, PA
- Marie V Evangelisti
- Robert A Evans
All providers in Safety Harbor, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.