Individual provider Active NPI

Elizabeth Jerome, M.D.

  • Family Medicine Physician
  • Mangonia Park, FL
National Provider Identifier
1407115389
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME121628 Issued in FL
Practice address
901 45TH St
Mangonia Park, FL 33407-2413
Phone
(561) 844-6300
Fax
(561) 882-4562
NPI assigned
May 11, 2012
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 51079 AZ
Family Medicine Physician 207Q00000X ME121628 FL Primary
Hospitalist Physician 208M00000X 304232 NY

Addresses

Primary practice location

901 45TH St
Mangonia Park, FL 33407-2413

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151006002077 AZ Practitioner - Family Practice 6103134465 Reassigns benefits to 3 organizations
I20200207001040 FL Practitioner - Family Practice 6103134465 Reassigns benefits to 4 organizations
I20250131001335 NY Practitioner - Family PracticePractitioner - Hospitalist 6103134465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.61 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121628FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 9, 2020 Accepting new patients
Arnot Ogden Medical Center CurrentSince Oct 27, 2025 Accepting new patients
Apogee Medical Group Inc CurrentSince Sep 23, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 9, 2020 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jan 15, 2025 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jan 15, 2025 Accepting new patients
Apogee Medical Group Inc CurrentSince Sep 23, 2024 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Arnot Ogden Medical Center CurrentSince Oct 27, 2025 Accepting new patients
Valle del Sol, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Withwellbeing LLC Family Medicine CurrentSince May 25, 2025 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3807 N 7th St
Phoenix, AZ 85014

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

515 N Flagler Dr
Ste P350
West Palm Beach, FL 33401
Phone (561) 223-9821

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1407115389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-844-6300",
            "fax_number": "561-882-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121628",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "304232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.