Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC - Medicare Nurse Practitioner in Jacksonville, FL

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Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Resource Center Inc, My Choice Operating Company Llc, Discovery Mental Health Services Pa and her current practice location is 13453 N Main St Ste 104, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 773-4390.

Mrs Tasha Ellsberry is licensed to practice in Florida (license number 9344392) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013466697.

Contact Information

Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC
13453 N Main St Ste 104,
Jacksonville, FL 32218-2773
(904) 773-4390
(941) 641-7089

Map and Direction




Provider's Profile

Full NameMrs Tasha Ellsberry
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location13453 N Main St Ste 104, Jacksonville, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tasha Ellsberry graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1013466697
  • Provider Enumeration Date: 09/24/2016
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698168375
  • Enrollment ID: I20220201000857

Medical Identifiers

Medical identifiers for Mrs Tasha Ellsberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013466697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 9344392 (Florida)Secondary
363LF0000XNurse Practitioner - Family ARNP9344392 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 9344392 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mental Health Resource Center Inc256744698213
My Choice Operating Company Llc377999154257
Discovery Mental Health Services Pa71133109394

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tasha Ellsberry allows following entities to bill medicare on her behalf.
Entity NameMental Health Resource Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851407365
PECOS PAC ID: 2567446982
Enrollment ID: O20040615000219
Entity NameMy Choice Operating Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174112007
PECOS PAC ID: 3779991542
Enrollment ID: O20210415000680
Entity NameDiscovery Mental Health Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023697745
PECOS PAC ID: 7113310939
Enrollment ID: O20220131001070
Entity NameMobile Medical Operating Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245983022
PECOS PAC ID: 1456747625
Enrollment ID: O20220415001415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tasha Ellsberry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC
3333 W 20th St,
Jacksonville, FL 32254-1703

Ph: (904) 930-9215		Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC
13453 N Main St Ste 104,
Jacksonville, FL 32218-2773

Ph: (904) 773-4390

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP
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Phone: 904-997-9844    Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP
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Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216
Phone: 904-493-3390    Fax: 904-493-3395
Jessica Pelkowski, ARNP
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Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Shannon Kathleen Burns, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Christy Mcewen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207
Phone: 904-398-0125    Fax: 904-389-1832
Danielle Harper Key, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210
Phone: 904-346-0050    Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207
Phone: 904-399-2766    Fax: 904-549-8300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.