Active NPI
Elisa J. Thompson, M.D.
- Family Medicine Physician
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME125969
- Practice address
- 120 Medical Blvd Ste 103
Spring Hill, FL 34609-0221 - Phone
- (352) 340-2115
- Fax
- (352) 340-2116
- NPI assigned
- Jun 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16013 | ME | |
| Family Medicine Physician | 207Q00000X | ME125969 | FL | Primary |
Addresses
Primary practice location
120 Medical Blvd Ste 103
Spring Hill, FL 34609-0221
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00245819 | Other | ME | RAILROAD MEDICARE |
| 255720099 | Medicaid | ME |
Other names 1
- Elisa T. Ruksznis
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Geisel School of Medicine at Dartmouth, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 Medical Blvd
Spring Hill, FL 34609-0220
Phone (352) 340-2115
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
Hospital & facility affiliations
- Visiting Nurse Association of Florida Inc
- Pinnacle Home Care of Spring Hill Inc
- Concierge Home Care
- Enhabit Home Health
- HCA Florida Oak Hill Hospital
- Adventhealth Tampa
- Adventhealth Wesley Chapel
- Adventhealth Dade City
- H Lee Moffitt Cancer Center & Research Institute I
- Encompass Health Rehab Hospital of Spring Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125969 | FL | MD | Family Medicine Physician |
| 16013 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
18923 State Road 54
Lutz, FL 33558
Phone (813) 803-7150
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
120 Medical Blvd
Ste 103
Spring Hill, FL 34609
Phone (352) 340-2115
120 Medical Blvd
Spring Hill, FL 34609
Phone (352) 340-2115
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
Interoperability endpoints
- elisa.thompson.1@4290.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1750775003
-
- Rehabilitation Hospital
- Brooksville, FL
- NPI 1699740373
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- Home Health Agency
- Spring Hill, FL
- NPI 1942255716
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1255375689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEDICAL BLVD STE 103",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346090221",
"telephone_number": "352-340-2115",
"fax_number": "352-340-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELISA",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "16013",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME125969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00245819",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255720099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISA",
"last_name": "RUKSZNIS",
"middle_name": "T.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spring Hill, FL
- The Vein & Vascular Institute of Spring Hill, PLLC
- Therapeutic Empowerment Counseling Services LLC
- Therapeutic Serendipity, LLC
- Theresa M. Meloche, a.R.N.P. & Associates, PLLC
- Rita Zea Thomas, MASSAGE THERAPIST
- Jade Ciarra Thompson, RBT
- Elva L Thorn, RDH
- Three Aces, LLC
- Thrive Behavioral Psychiatry
- Syaira N Thurman, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.