Individual provider Active NPI

Elena Osborn, PA-C

  • Physician Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1275032039
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111017 Issued in FL
Practice address
129 S State Road 7 Ste 401
Royal Palm Beach, FL 33414-4379
Phone
(561) 694-7776
NPI assigned
Feb 7, 2018
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9111017 FL Primary

Addresses

Primary practice location

129 S State Road 7 Ste 401
Royal Palm Beach, FL 33414-4379

Mailing address

6353 Lansdowne Cir
Boynton Beach, FL 33472-5109
Phone (561) 634-0478

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003585 FL Practitioner - Physician Assistant 4789928524 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
West Boynton Urgent Care LLCGroup PAC ID 0941456537, 7 clinicians

Practice addresses (Care Compare)

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

129 S State Rd
7 Suite 401
Royal Palm Beach, FL 33414-4379
Phone (561) 425-7801

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

6264 W Sample Rd
Coral Springs, FL 33067-3273

8756 Boynton Beach Blvd
Suite 150
Boynton Beach, FL 33472-4442
Phone (561) 740-2273

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9111017FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Oct 7, 2024 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1275032039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 LANSDOWNE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334725109",
            "telephone_number": "561-634-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S STATE ROAD 7 STE 401",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144379",
            "telephone_number": "561-694-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.