TINA R ELLISON PA-C
NPI 1033196571
Physician Assistant in Palm Coast, FL

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
61 MEMORIAL MEDICAL PKWY STE 1-800A, PALM COAST, FL 32164(386) 302-1365 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Feb 8, 2024 (2 updates tracked since 2024).

About Tina R Ellison Pa-c NPPES

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

TINA R ELLISON PA-C (NPI 1033196571) is an individual physician assistant in Palm Coast, Florida, licensed in Florida (PA9117754) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1033196571
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA R ELLISONCredential: PA-C
Location Address61 MEMORIAL MEDICAL PKWY STE 1-800APalm Coast, FL 32164-5983
Mailing AddressPo Box 946383Atlanta, GA 30394-6383
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 27, 2005
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1033196571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9117754 Licensed in OH · 50-001637
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

61 MEMORIAL MEDICAL PKWY STE 1-800A, Palm Coast, FL 32164

Other Names 1

Former Name (1)Tina R Hasrouni

Secondary Practice Location 1

Location 12626 Care Dr Ste 105Tallahassee, FL 32308-4489 · Phone (850) 402-3104 · Fax (850) 402-9979

Other Identifiers 2

Other000000316099OH · Anthem
OtherP00079777OH · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tina R Ellison Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850441254
PECOS Enrollment IDI20240105000087
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Surgery
61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 32164
Nurse Practitioner (Family)
61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 32164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Ellison's NPI number?

The NPI number for Tina Ellison is 1033196571. It was assigned to this individual provider in the NPPES registry on December 27, 2005. The provider is also known as Tina R Hasrouni.

Where is Tina Ellison located?

Tina Ellison practices at 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164. The listed phone number is (386) 302-1365.

What is Tina Ellison's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tina Ellison enrolled in Medicare?

Yes. Tina Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Ellison accept?

Health plans from Oscar Health Maintenance Organization of Florida list Tina Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tina Ellison affiliated with any hospitals?

According to CMS data, Tina Ellison is affiliated with Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Tina Ellison was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.