Elizabeth Angela Ferdman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9116854 Issued in FL

Practice address

120 Gateway Cir
Jacksonville, FL 32259-4082

Phone

(904) 544-5800

Fax

(904) 544-5800

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Elizabeth Confrancesco Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

98.32 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

94.39

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Bold City Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • St Augustine, FL
  • NPI 1538761655
  Medicare reassignment

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1346747425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-544-5800",
            "fax_number": "904-544-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594082",
            "telephone_number": "904-544-5800",
            "fax_number": "904-544-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Spindrift Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217894",
            "country_code": "US",
            "telephone_number": "716-831-2600",
            "fax_number": "716-831-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Paseo Reyes Dr",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320958464",
            "country_code": "US",
            "telephone_number": "904-544-5800",
            "fax_number": "904-544-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0219591",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CONFRANCESCO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kindalem Fekade Fentie, MD
• Douglas Fenton, MD
• Melissa Diane Fenton, L.M.H.C.
• Ilona Suzanne Fenyo-Morales, PA-C
• Steven C. Ferber, DDS
• Ferguson Dental Care PLC
• Aaliyah Ferguson
• Dominique Marie Ferguson
• Jean Taylor Ferguson, PA-C
• Jennifer Leann Ferguson, MS, LMHC

• Medical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.

Verify at the official NPI Registry.