Individual provider Active NPI

Elizabeth Ulman, PA-C

  • Physician Assistant
  • Fort Myers Beach, FL
National Provider Identifier
1568617710
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104861 Issued in FL
Practice address
6051 Estero Blvd
Fort Myers Beach, FL 33931-4348
Phone
(239) 450-1944
Fax
(239) 765-6008
NPI assigned
Dec 1, 2008
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104861 FL Primary

Addresses

Primary practice location

6051 Estero Blvd
Fort Myers Beach, FL 33931-4348

Mailing address

6051 Estero Blvd
Fort Myers Beach, FL 33931-4348
Phone (239) 450-1944

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000485 FL Practitioner - Physician Assistant 1850449562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16517 Vanderbilt Dr
Suite 3
Bonita Springs, FL 34134-7550
Phone (239) 765-6000

6051 Estero Blvd
Fort Myers Beach, FL 33931-4348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ngen Health Solutions LLC PastSince Sep 17, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1568617710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314348",
            "telephone_number": "239-450-1944",
            "fax_number": "239-765-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314348",
            "telephone_number": "239-450-1944",
            "fax_number": "239-765-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

Verify at the official NPI Registry.