ELENA SIMONSEN – Clinical Social Worker, NPI 1144812603

ELENA SIMONSEN is a healthcare provider. based in Melbourne, Florida. specializing in CLINICAL SOCIAL WORKER. The NPI Number for ELENA SIMONSEN is 1144812603

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ELENA SIMONSEN
NPI
1144812603
Phone
(321) 952-9696
Address
PO BOX 1137
Enumeration Date
5 February 2021
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212416800
Graduation Year
2018 (8 years ago)
PAC ID
0244717502
Group Practice PAC ID
0446201768
Professional Enrollment ID
I20260117000252
Address ID
FL329552742RO220XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for ELENA SIMONSEN

  • PO BOX 1137

    MELBOURNE, FL 329021137

    Phone: (321) 952-9696

    Fax: (321) 952-7937

    Type: Mailing

  • 1537 N SINGLETON AVE

    TITUSVILLE, FL 327961679

    Phone: (321) 241-6800

    Fax: (321) 241-6890

    Type: Location

  • 2961 1st Ave N

    Saint Petersburg, FL 337138605

    Phone: (727) 268-0443

    Type: Location

  • 1000 Bay Pines Blvd

    Bay Pines, FL 33744

    Phone: (727) 398-6661

    Type: Location

  • 917 30TH AVE N APT 2

    SAINT PETERSBURG, FL 337042077

    Phone:

    Type: Mailing

  • 11300 US 19 N

    Clearwater, FL 337647451

    Phone: (727) 541-2646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-17

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
I20260117000252IClinical Social WorkerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32902)

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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: 0446201768View full group profile
NameSpecialtyState
Internal Medicine, EndocrinologyFL
Physician AssistantFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Family Practice, Peripheral Vascular DiseaseFL
Nurse PractitionerFL
Psychiatry, NeurologyFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for ELENA SIMONSEN?
The registry entry for ELENA SIMONSEN shows NPI 1144812603.
Does the public listing show ELENA SIMONSEN as active?
ELENA SIMONSEN's NPI record reflects an active status in NPPES.
What does the directory say ELENA SIMONSEN does?
Insurance directories may phrase it differently, but here ELENA SIMONSEN maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to ELENA SIMONSEN?
The directory associates ELENA SIMONSEN with Melbourne, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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