LYNNE ELLIS M.D.
NPI 1275503179
Pediatrics in St Petersburg, FL

NPI Status: Active since January 24, 2006

Contact Information

1111 7TH AVE N
#103
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 822-5393

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  • Individual
  • Female
  • Pediatrics
  • Medicare Quality Reporting
  • CLIA Number: 10D0678362
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 06-22-2026

About LYNNE ELLIS

This page provides the complete NPI Profile along with additional information for Lynne Ellis, a pediatrician established in St Petersburg, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275503179 assigned on January 2006. The practitioner's primary taxonomy code is 208000000X with license number ME46897 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1275503179
Provider Name
LYNNE ELLIS M.D.
Gender
Female
Entity Type
Individual
Location Address
1111 7TH AVE N #103 ST PETERSBURG, FL 33705
Location Phone
(727) 822-5393
Mailing Address
1111 7TH AVE N #103 ST PETERSBURG, FL 33705
Is Sole Proprietor?
No
Enumeration Date
01-24-2006
Last Update Date
07-08-2007
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A pediatrician like Lynne Ellis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
ME46897
License State
FL
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
e-Prescribing 90% 101
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 28% 675
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Provide Patient Access 66% 2321
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0678362
Facility Type
Community Clinic
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
JOSE D. SUAREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lynne Ellis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275503179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 0 + 0 + 6 + 1 + 1 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275503179.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Urology
1111 7TH AVE N, SUITE #101
ST PETE, FL 33705
Nurse Practitioner (Adult Health)
1111 7TH AVE N, #107
SAINT PETERSBURG, FL 33705
Nurse Practitioner (Primary Care)
1111 7TH AVE N, STE 107
ST PETERSBURG, FL 33705
Internal Medicine (Infectious Disease)
1111 7TH AVE N, STE 107
ST PETERSBURG, FL 33705
Nurse Practitioner (Pediatrics)
1111 7TH AVE N, SUITE 103
SAINT PETERSBURG, FL 33705
Pediatrics
1111 7TH AVE N
ST PETERSBURG, FL 33705
Internal Medicine
1111 7TH AVE N, #107
SAINT PETERSBURG, FL 33705
Internal Medicine
1111 7TH AVE N, #107
SAINT PETERSBURG, FL 33705
Physician Assistant
1111 7TH AVE N
ST PETERSBURG, FL 33705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275503179, enumerated as an "individual" on January 24, 2006.

The provider is located at 1111 7TH AVE N #103 ST PETERSBURG, FL 33705 and the phone number is (727) 822-5393.

Pediatrics with taxonomy code 208000000X.