Active NPI
Elisabeth Ann Powell, PA
- Physician Assistant
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121999
- Practice address
- 1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521 - Phone
- (954) 355-4665
- Fax
- (954) 355-4881
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121999 | FL | Primary |
Addresses
Primary practice location
1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521
Mailing address
1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 355-4665
Other practice location 1
1625 SE 3rd Ave Ste 355
Fort Lauderdale, FL 33316-2521
Phone (954) 355-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
856 J Clyde Morris Blvd
Newport News, VA 23601-1318
856 J Clyde Morris Blvd a
Newport News, VA 23601-1318
Hospital & facility affiliations
- Riverside Home Health
- Riverside Regional Medical Center
- Riverside Walter Reed Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06353 | NC | MD | Physician Assistant |
| 0110003122 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Maternal & Fetal Medicine Physician
- Newport News, VA
- NPI 1609897347
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport News, VA
- NPI 1801891023
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1457584427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SE 3RD AVE FL 3",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162564",
"telephone_number": "954-355-4665",
"fax_number": "954-355-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SE 3RD AVE STE 300",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162521",
"telephone_number": "954-355-4665",
"fax_number": "954-355-4881"
}
],
"practiceLocations": [
{
"address_1": "1625 SE 3rd Ave Ste 355",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162521",
"country_code": "US",
"telephone_number": "954-355-5001",
"fax_number": "954-355-4881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "ELISABETH",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.