Individual provider Active NPI

Stephanie M Elsen, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1700964723
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME142718 Issued in FL
Practice address
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone
(561) 420-8555
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 175064 NY
Internal Medicine Physician 207R00000X 142718 FL
Internal Medicine Physician 207R00000X 175064 NY
Internal Medicine Physician 207R00000X ME142718 FL Primary

Addresses

Primary practice location

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501

Mailing address

1402 NE 34TH St Unit a
Oakland Park, FL 33334-4538
Phone (585) 743-7013

Other practice location 1

801 S Douglas Rd
Pembroke Pines, FL 33025-1355
Phone (954) 276-6500

Other practice location 2

1555 Long Pond Rd
Emergency Center
Rochester, NY 14626-4122
Phone (585) 723-7005

Other identifiers 2

IdentifierTypeStateIssuer
01190927MedicaidNY
P00132274OtherNYRAILROAD MEDICARE

Other names 1

  • Stephanie Marcia Elsen Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129001451 FL Practitioner - Internal Medicine 1456374412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

311 S Cypress Rd
Pompano Beach, FL 33060-7133
Phone (954) 781-7248

4455 Medical Ctr Way
West Palm Beach, FL 33407-3244
Phone (561) 881-0066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175064NYMDEmergency Medicine Physician
142718FLMDInternal Medicine Physician
ME142718FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 20, 2021 Accepting new patients
American Current Care PA CurrentSince Jul 8, 2022 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 20, 2021 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Jul 8, 2022 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Internal Medicine at Lakeside Internal Medicine Past Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

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

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

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

801 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1700964723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 NE 34TH ST UNIT A",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344538",
            "telephone_number": "585-743-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-420-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330251355",
            "country_code": "US",
            "telephone_number": "954-276-6500",
            "fax_number": "954-437-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_2": "Emergency Center",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-723-7005",
            "fax_number": "585-723-7045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSEN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "175064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "142718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME142718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00132274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ELSEN",
            "middle_name": "MARCIA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.