ELIZABETH MARGARET ENNIS (PA-C) – Physician Assistant, NPI 1063733376

ELIZABETH MARGARET ENNIS (PA-C) is a healthcare provider. based in Plant city, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 9105563 (FL). The NPI Number for ELIZABETH MARGARET ENNIS (PA-C) is 1063733376

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARGARET ENNIS (PA-C)
NPI
1063733376
Phone
(813) 709-8567
Address
1601 W Reynolds St Ste 104
Enumeration Date
21 June 2010
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724614000
Graduation Year
2010 (16 years ago)
PAC ID
0446444640
Group Practice PAC ID
9234596743
Professional Enrollment ID
I20101102000298
Address ID
FL349504899FO1700XSTXX419
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ELIZABETH MARGARET ENNIS (PA-C)

  • 1601 W Reynolds St Ste 104

    Plant City, FL 335634708

    Phone: (813) 709-8567

    Fax: (877) 669-0266

    Type: Location

  • 5536 ANSLEY WAY

    MOUNT DORA, FL 327578000

    Phone: (352) 400-8457

    Type: Mailing

  • 550 POPE AVE NW STE 200

    WINTER HAVEN, FL 338814679

    Phone: (863) 299-2630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($97).

Total Amount

$97

General + Research + Ownership

Payments

1

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101102000298IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes489192$0
99239Hospital discharge day management, more than 30 minutes108107$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2415$0
View full utilization report →

Insurance plans in this area (ZIP 33563)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234596743View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Internal MedicineOH
Nurse PractitionerFL
H O S P I T A L I S TFL
Nurse PractitionerFL
Hospitalist, Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Family PracticeKY

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH MARGARET ENNIS (PA-C)?
NPI 1063733376 is assigned to ELIZABETH MARGARET ENNIS (PA-C) under the national enumeration system.
Is ELIZABETH MARGARET ENNIS (PA-C) currently active in the NPI registry?
CMS-published data lists ELIZABETH MARGARET ENNIS (PA-C) as an active registrant.
What field does ELIZABETH MARGARET ENNIS (PA-C) work in?
You can think of ELIZABETH MARGARET ENNIS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZABETH MARGARET ENNIS (PA-C)?
The page summarizes Plant City, Florida for ELIZABETH MARGARET ENNIS (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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