ELENA MARIE ELDRIDGE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588938989

ELENA MARIE ELDRIDGE (APRN) is a healthcare provider. based in Valrico, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9179672 (FL). The NPI Number for ELENA MARIE ELDRIDGE (APRN) is 1588938989

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ELENA MARIE ELDRIDGE (APRN)
NPI
1588938989
Phone
(813) 252-0171
Address
1418 BLOOMINGDALE AVE
Enumeration Date
2 March 2012
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132520171
Graduation Year
2011 (15 years ago)
PAC ID
3779815485
Group Practice PAC ID
5395122279
Professional Enrollment ID
I20191030001430
Address ID
FL335966110VA1418XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ELENA MARIE ELDRIDGE (APRN)

  • 1418 BLOOMINGDALE AVE

    VALRICO, FL 335966110

    Phone: (813) 252-0171

    Type: Mailing

  • 3901 BLUE MAIDENCANE PL

    VALRICO, FL 335968440

    Phone: (813) 684-4618

    Type: Mailing

  • 6216 E SLIGH AVE

    TAMPA, FL 336179105

    Phone: (813) 866-0930

    Fax: (813) 866-0930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $2,779.

Total Amount is formed as General ($2,779) + Research ($0) + Ownership ($0) = $2,779.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($868).

Total Amount

$2,779

General + Research + Ownership

Payments

50

Total payment records

General Amount

$2,779

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2019-10-30

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
I20191030001430INurse PractitionerFLTBD

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 33596)

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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: 5395122279View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ELENA MARIE ELDRIDGE (APRN) identified in CMS data?
CMS-hosted NPPES data lists ELENA MARIE ELDRIDGE (APRN) with NPI 1588938989.
Can I rely on ELENA MARIE ELDRIDGE (APRN) being an active provider?
As of the registry snapshot, ELENA MARIE ELDRIDGE (APRN) is marked active.
What healthcare role does ELENA MARIE ELDRIDGE (APRN) hold?
Scheduling teams often label ELENA MARIE ELDRIDGE (APRN) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ELENA MARIE ELDRIDGE (APRN) list a practice location?
Patients near Valrico, Florida may find ELENA MARIE ELDRIDGE (APRN) in results; validate coverage separately.
Why does ELENA MARIE ELDRIDGE (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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