Individual provider Active NPI

Ellen Jennifer Esses, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1316975055
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 81353 Issued in FL
Practice address
31 E Mack Bayou Dr
Santa Rosa Beach, FL 32459-7102
Phone
(850) 267-2292
Fax
(850) 267-3957
NPI assigned
Jun 29, 2006
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 81353 FL Primary

Addresses

Primary practice location

31 E Mack Bayou Dr
Santa Rosa Beach, FL 32459-7102

Mailing address

31 E Mack Bayou Dr
Santa Rosa Beach, FL 32459-7102
Phone (850) 267-2292

Other identifiers 3

IdentifierTypeStateIssuer
05180OtherFLBCBS
7140355OtherFLAETNA
262645400MedicaidFL

Other names 1

  • Ellen Jennifer Lynch Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000390 FL Practitioner - Obstetrics/Gynecology 9931272887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

5595 Woodbine Rd
Pace, FL 32571-8768
Phone (850) 981-7746

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 81353FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC Obstetrics & Gynecology CurrentSince Oct 2, 2022 Accepting new patients
Santa Rosa Hma Physician Management LLC Obstetrics & Gynecology PastSince Jul 4, 2021 Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447

7456 Navarre Pkwy
Navarre, FL 32566
Phone (850) 626-5070

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

5595 Woodbine Rd
Pace, FL 32571
Phone (850) 981-7746

Interoperability endpoints

  • Direct secure messaging: ellen.esses.1@4692.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1316975055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E MACK BAYOU DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597102",
            "telephone_number": "850-267-2292",
            "fax_number": "850-267-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MACK BAYOU DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597102",
            "telephone_number": "850-267-2292",
            "fax_number": "850-267-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSES",
        "first_name": "ELLEN",
        "middle_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 81353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05180",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7140355",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262645400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "LYNCH",
            "middle_name": "JENNIFER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.