Ellen Middleton Hendry, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9112395 Issued in FL

Practice address

350 NW 76TH Dr Ste a
Gainesville, FL 32607-6663

Phone

(352) 332-4051

Fax

(352) 332-2966

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Betsy Beers MD PAGroup PAC ID 7719063619, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.54 of 100Reported as group

Quality

92.13

Improvement activities

40

Cost

82.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Betsy Beers MD PA

  • Dermatopathology Physician
  • Gainesville, FL
  • NPI 1841311933
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1780240218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 76TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076663",
            "telephone_number": "352-332-4051",
            "fax_number": "352-332-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 76TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076663",
            "telephone_number": "352-332-4051",
            "fax_number": "352-332-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "ELLEN",
        "middle_name": "MIDDLETON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9112395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Hendricks
• Andrew Hendrickson, PHARMD
• Jill Elizabeth Hendrickson, MS, MSSW (CGC)
• Jared Hendrieth
• Tammy Hendrix, MSW
• Rachel K Henesy, M.AE/ED.S
• Kimberly S Heninger, LMT
• Jacqueline Marie Henkel, M.D.
• Nancye Henkle-McPeek, P.T.
• Sharon Denise Hennessy, M.ED.

• Dermatology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.