Individual provider Active NPI

Elise Rodgers

  • Audiologist
  • Jacksonville, FL
National Provider Identifier
1245896240
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2399 Issued in FL
Practice address
3 Shircliff Way Ste 322
Jacksonville, FL 32204-4780
Phone
(904) 880-0911
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2399 FL Primary

Addresses

Primary practice location

3 Shircliff Way Ste 322
Jacksonville, FL 32204-4780

Mailing address

3 Shircliff Way Ste 322
Jacksonville, FL 32204-4780
Phone (904) 880-0911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emccullough@nflsurgeons.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000827 FL Practitioner - Qualified Audiologist 3870912082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

11705 San Jose Blvd
Suite 103
Jacksonville, FL 32223-1653
Phone (904) 880-0911

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2399FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Oct 24, 2022 Accepting new patients
North Florida Surgeons, PA CurrentSince Oct 24, 2022 Accepting new patients
Audiology Distribution, LLC CurrentSince Jul 3, 2020 Accepting new patients
Hearusa Inc Past Accepting new patients
Hearusa Inc PastSince Jul 3, 2020 Accepting new patients

Locations

13178 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-5540

7431 Atlantic Ave
Ste 43
Delray Beach, FL 33446
Phone (561) 496-2082

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11705 San Jose Blvd
Ste 103
Jacksonville, FL 32223
Phone (904) 880-0911

3 Shircliff Way
Ste 322
Jacksonville, FL 32204
Phone (904) 384-8088

2 Shircliff Way
Ste 920
Jacksonville, FL 32204
Phone (904) 308-1380

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

2966 Aventura Blvd
Miami, FL 33180
Phone (305) 931-8382

1900 Tamiami Trl
Unit 109
Port Charlotte, FL 33948
Phone (941) 743-5211

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: elise.mccullough.1@9109.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1245896240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 322",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044780",
            "telephone_number": "904-880-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 322",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044780",
            "telephone_number": "904-880-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emccullough@nflsurgeons.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3 Shircliff Way Ste 322",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322044780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.