Elanor Peterson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112375 Issued in FL

Practice address

5992 Berryhill Rd Ste 205
Milton, FL 32570-1014

Phone

(850) 626-5324

NPI assigned

Apr 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: elanor.peterson.1@4692.direct.athenahealth.com

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.

• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366
  Medicare reassignment Care Compare group

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

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Hma Santa Rosa Medical Center LLC

  • General Acute Care Hospital
  • Milton, FL
  • NPI 1528015302
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1396309092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD STE 205",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701014",
            "telephone_number": "850-293-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD STE 205",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701014",
            "telephone_number": "850-626-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ELANOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elanor.peterson@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5992 Berryhill Rd",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325701013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa L Perritt, LMT
• Ainza Perry, APRN
• Debra Lynn Perry, MD
• Richard Perry
• Savannah Perry, RBT
• Mina Petrosino
• Jessalyn Elana Phelps, DPT
• Kelley Phelps, BCBA
• Carri L Phillips, A.R.N.P.
• Amy Pierson, SLP

• Physician Assistant in Milton, FL
• Providers in Milton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.