Active NPI
Stephanie M Elsen, M.D.
- Internal Medicine Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME142718
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01190927 | Medicaid | NY | |
| P00132274 | Other | NY | RAILROAD MEDICARE |
Other names 1
- Stephanie Marcia Elsen
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 175064 | NY | MD | Emergency Medicine Physician |
| 142718 | FL | MD | Internal Medicine Physician |
| ME142718 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Inphynet South Broward LLC | Emergency Medicine | Current | 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.
-
- Urgent Care Clinic/Center
- Pinecrest, FL
- NPI 1770719296
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1730368366
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Internal Medicine Physician
- Brockport, NY
- NPI 1083939722
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.