ELIZABETH ANNE IDE – Physician Assistant, NPI 1427796747

ELIZABETH ANNE IDE is a healthcare provider. based in Winter garden, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9116249 (FL). The NPI Number for ELIZABETH ANNE IDE is 1427796747

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANNE IDE
NPI
1427796747
Phone
(877) 800-0239
Address
1997 Daniels Road
Enumeration Date
25 May 2022
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613002410
Graduation Year
2022 (4 years ago)
PAC ID
2163891706
Group Practice PAC ID
5395807218
Professional Enrollment ID
I20221203000428
Address ID
FL347475434CE410XXPLXX338
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ELIZABETH ANNE IDE

  • 1997 Daniels Road

    Winter Garden, FL 347874599

    Phone: (877) 800-0239

    Fax: (407) 566-2499

    Type: Location

  • 2209 North Boulevard West

    Ste C

    Davenport, FL 338378903

    Phone: (877) 800-0239

    Fax: (407) 566-2499

    Type: Location

  • 410 CELEBRATION PL STE 208

    CELEBRATION, FL 347475434

    Phone: (877) 800-0239

    Fax: (407) 566-2499

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($352).

Total Amount

$939

General + Research + Ownership

Payments

40

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-12-03

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
I20221203000428IPhysician 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.

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

Insurance plans in this area (ZIP 34787)

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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: 5395807218View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-CO
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

How do I look up ELIZABETH ANNE IDE by NPI?
Use NPI 1427796747 when you need to reference ELIZABETH ANNE IDE in forms, claims, or directories.
Is ELIZABETH ANNE IDE currently active in the NPI registry?
CMS-published data lists ELIZABETH ANNE IDE as an active registrant.
What kind of provider is ELIZABETH ANNE IDE?
The page reflects Physician Assistant for ELIZABETH ANNE IDE. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH ANNE IDE's primary listing?
We display Winter Garden, Florida because that is what the record indicates for ELIZABETH ANNE IDE.
How can I contact ELIZABETH ANNE IDE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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