MRS. TASHA ELLSBERRY APRN, FNP, PMHNP-BC
NPI 1013466697
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Tasha Ellsberry's NPI number?

The NPI number for Tasha Ellsberry is 1013466697. It was assigned to this individual provider in the NPPES registry on September 24, 2016.

Q: What is Tasha Ellsberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tasha Ellsberry was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2016PECOS Enrolled

75/100

CMS Quality Rating

13453 N MAIN ST STE 104, JACKSONVILLE, FL 32218(904) 773-4390(941) 641-7089 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Jan 10, 2022, Jul 14, 2021 and 2 more (5 updates tracked since 2016).

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About Mrs. Tasha Ellsberry Aprn, Fnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TASHA ELLSBERRY APRN, FNP, PMHNP-BC (NPI 1013466697) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (9344392) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013466697

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. TASHA ELLSBERRYCredential: APRN, FNP, PMHNP-BC

Location Address13453 N MAIN ST STE 104Jacksonville, FL 32218-2773

Mailing Address3333 W 20th StJacksonville, FL 32254-1703 · (904) 930-9215 · Fax (941) 641-7089

Phone(904) 773-4390

Fax(941) 641-7089

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 24, 2016

Last NPPES UpdateMarch 21, 20245 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1013466697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 9344392

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 9344392 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9344392 (FL)

13453 N MAIN ST STE 104, Jacksonville, FL 32218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tasha Ellsberry Aprn, Fnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698168375

PECOS Enrollment IDI20220201000857

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

272 services72 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

31 services23 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

28 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

18 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DISCOVERY MENTAL HEALTH SERVICES

Counselor (Mental Health)