Individual provider Active NPI

Madison Danielle Ensley, AUD

  • Audiologist
  • Port Saint Lucie, FL
National Provider Identifier
1760267132
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2771 Issued in FL
Practice address
1801 SE Hillmoor Dr Ste B-105
Port Saint Lucie, FL 34952-7545
Phone
(772) 398-9911
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2771 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B-105
Port Saint Lucie, FL 34952-7545

Mailing address

1127 Vermilion Dr
Lake Worth, FL 33461-3328
Phone (484) 554-3769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908001568 FL Practitioner - Qualified Audiologist 9234593203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
81.3
Improvement activities
40
Cost
72.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2771FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Ear, Nose & Throat, LLC CurrentSince Nov 25, 2024 Accepting new patients
DRS Berghash & Lanza PL CurrentSince Aug 28, 2023 Accepting new patients
Florida Sinus & Snoring Specialists, LLC Past Accepting new patients

Locations

2100 Nebraska Ave
Ste 203
Fort Pierce, FL 34950
Phone (772) 464-6055

1801 SE Hillmoor Dr
Ste B-105
Port St Lucie, FL 34952
Phone (561) 398-9911

1801 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-9911

1400 NW US 1
Stuart, FL 34994
Phone (772) 888-1880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDCD

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1760267132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 VERMILION DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613328",
            "telephone_number": "484-554-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE B-105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-398-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLEY",
        "first_name": "MADISON",
        "middle_name": "DANIELLE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.