NPIMap

Individual provider Active NPI

Elizabeth C Wonpat, MD

  • Family Medicine Physician
  • Orange Park, FL
National Provider Identifier
1952503369
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101685 Issued in FL
Practice address
4607 US Highway 17
Orange Park, FL 32003-7866
Phone
(904) 269-4559
Fax
(904) 269-4597
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME101685 FL Primary
Hospitalist Physician 208M00000X 101685 FL

Addresses

Primary practice location

4607 US Highway 17
Orange Park, FL 32003-7866

Mailing address

4607 US Highway 17
Orange Park, FL 32003-7866
Phone (904) 269-4559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, NC, MI4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080819000195 FL Practitioner - Family Practice 5698875698 Reassigns benefits to 7 organizations
I20231023002034 ME Practitioner - Hospitalist 5698875698 Reassigns benefits to 1 organization
I20250124002426 NC Practitioner - Family Practice 5698875698 Reassigns benefits to 1 organization
I20251029002810 MI Practitioner - Family Practice 5698875698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2300
Phone (337) 609-1153

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101685FLMDFamily Medicine Physician
101685FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Grove Physician Services, P.a. Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Lake Wales Physician Services, LLC Hospitalist CurrentSince Apr 20, 2025 Accepting new patients
Grand Traverse Physician Services PC Family Medicine CurrentSince Sep 7, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince Jan 14, 2017 Accepting new patients
Deerfield Beach Physician Services, LLC Hospitalist CurrentSince Sep 24, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 4, 2023 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 21, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 4, 2023 Accepting new patients
Hni Hospital Services of Florida, LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Family Care Partners Urgent Care, LLC Past Accepting new patients
Munson Medical Center Past Accepting new patients
Prohealth Medical Group Inc Family Medicine Past Accepting new patients

Locations

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1952503369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 US HIGHWAY 17",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037866",
            "telephone_number": "904-269-4559",
            "fax_number": "904-269-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 US HIGHWAY 17",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037866",
            "telephone_number": "904-269-4559",
            "fax_number": "904-269-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONPAT",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101685",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "101685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.