Agence du Numérique en Santé

What Agence du Numérique en Santé does

Agence du Numérique en Santé (ANS) is a French public interest group (Groupement d'Intérêt Public, GIP) established under Article L.1111-24 of the French Public Health Code and operating under the supervision of the Ministry of Health (Ministère de la Santé et de la Prévention). Founded via its initial convention on September 8, 2009, with a governance reform by arrêté on April 8, 2021, ANS acts as the institutional accelerator for the digital transformation of the French healthcare system. Its mandate is organized around four foundational service layers: digital identity, secure exchange, sharing, and orientation of the digital health ecosystem. It is headquartered at 2-10 Rue d'Oradour-sur-Glane, 75015 Paris, and is led by Director General Jean-Christophe Zerbini.

ANS operates a portfolio of nationally mandated digital health infrastructure. Core services include MSSanté (a secure health messaging system with 800,000+ professional mailboxes across 300 operators and approximately 28 million messages exchanged in May 2025), the Identité Nationale de Santé (INS) for unique patient identification, the RPPS and FINESS national directories of professionals and establishments, the Annuaire Santé, professional identification means (e-CPS, Cartes CPS), the Dossier Médical Partagé (DMP) and Mon espace santé personal health record serving France's 67+ million insured individuals, and the Sécur du numérique referencing and funding program. ANS also defines and enforces mandatory reference frameworks (CI-SIS, PGSSI-S, HDS certification) that any digital health software vendor must comply with to access public funding.

ANS is entirely publicly financed and does not generate commercial revenue. Its users span five stakeholder groups: healthcare professionals, health and medico-social establishments (including ESSMS), digital health companies (Entreprises du Numérique en Santé / ENS) that must integrate with ANS services for Sécur référencement, citizens, and health authorities. Distribution is direct via the esante.gouv.fr public portal and the industriels.esante.gouv.fr authenticated vendor portal, supported by APIs into core services. Operating geographies are primarily domestic (France) with an emerging European footprint through the European Health Data Space (EEDS) initiative.

Name

Agence du Numérique en Santé

Legal name

Agence du Numérique en Santé

Website

https://esante.gouv.fr

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

251–500 employees

Short description

Agence du Numérique en Santé is a French public interest group operating the national digital health infrastructure, providing identity services, secure messaging, and personal health records to healthcare professionals, establishments, citizens, and digital health software vendors across France.

Ownership category

akta.pro rank

Product category

Healthcare IT Infrastructure

NAICS

Health Care and Social Assistance (62), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000)

akta.pro primary industry

Health Data Privacy, Security & Interoperability Regulators (HLAJACAE)

akta.pro secondary industries

Governance, Risk & Compliance (GRC) + HIPAA/HITRUST/ISO Readiness (HLACAJAJ), Health, Pharmaceuticals & Medical Devices Regulatory Cooperation (BPADANAJ), Digital Health, Health Information Systems & Data Programs (BPADAIAJ)

Keywords

• Digital health infrastructure
• Health identity services
• Secure health messaging
• Electronic health records
• Health interoperability standards

Headquarters

HQ city

Paris

HQ country

France

HQ region

Europe

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Others

Distribution channels3 records

Marketing channels6 records

Core offering

Agence du Numérique en Santé (ANS) operates the national digital health infrastructure for France, providing foundational shared services including identity management (INS, RPPS, FINESS, e-CPS), secure health messaging (MSSanté), personal health records (Mon espace santé, DMP), and certification/referencing programs for digital health vendors. The agency governs interoperability and security reference frameworks (CI-SIS, PGSSI-S, HDS) and oversees the Ségur du numérique program that finances digital health software for healthcare professionals and establishments.

Product overview

Agence du Numérique en Santé operates as a platform organization providing foundational digital health infrastructure for France. The core offerings include identity services (Cartes de Professionnels de Santé, e-CPS, Référentiel INS), secure messaging (MSSanté with 800,000+ mailboxes), personal health records (Mon espace santé, Dossier Médical Partagé), professional directories (Annuaire Santé, RPPS, FINESS), and the national Ségur du numérique program. These services form an interconnected ecosystem where identity verification enables access to secure health data exchange, coordinated care management, and citizen health platforms.

Differentiator

Problem solved

Functional benefit

Products and services

• Cartes de Professionnels de Santé

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Feature11 records

Recent moves6 records

Expansion highlights5 records

Others

• SNOMED International: International non-profit that owns SNOMED CT, the clinical terminology referenced across national EHR systems including France. Comparable as a foundational terminology authority that complements ANS's interoperability and identity work.
• HL7 International / FHIR Foundation: Global standards body defining interoperability specifications (HL7 v2/v3, FHIR, CDA) that ANS explicitly references in its CI-SIS framework. Comparable as the upstream standards authority whose work ANS operationalizes into French national doctrine.

Direct peers

• Health IT Authority / eHealth Network Austria (ELGA GmbH): Austrian operator of ELGA, the national electronic health record, e-medication and citizen portal infrastructure. Comparable as a national public agency operating identity, records and secure exchange services for a single national health system.
• Gematik: Germany's national agency for digital health, mandated to operate the telematics infrastructure, electronic health record (ePA), e-prescription and secure health communication (KIM). Directly comparable to ANS in mandate, scope and statutory role over a comparable national healthcare system.
• ASIP Santé (historical) / eSanté France (Luxembourg): Luxembourg's national eHealth agency operating the DSP (Dossier de Soins Partagé) and national identity/ePrescription services. Comparable smaller-scale national agency with mandate analogous to ANS over identity, records and exchange.
• NHS England (formerly NHS Digital): UK national health IT agency operating national identity (NHS Number), secure messaging, the NHS App and national interoperability standards. Most direct structural analog to ANS as a state-mandated digital health infrastructure operator for a single national system.
• SPMS – Serviços Partilhados do Ministério da Saúde: Portuguese shared services entity for the Ministry of Health, operating national eHealth platforms (SClinico, PEM, RSE), national registries and interoperability services. Closely comparable in role and scope, though at smaller national scale.
• eHealth Agency (eHDSI / EU eHealth Network): Coordinates cross-border health data exchange infrastructure for the European Health Data Space (MyHealth@EU / eHDSI). Directly comparable as the supra-national counterpart that ANS interfaces with via EEDS for cross-border patient summary and ePrescription exchange.

Emerging players

• Doctolib: Leading French digital health platform operating appointment booking, teleconsultation and increasingly messaging/integration with Mon espace santé. Comparable as a French health-IT platform that interfaces with ANS infrastructure and competes for citizen/professional mindshare on UX and features.
• Health Data Hub (France): French national health data platform for secondary-use analytics and AI, closely linked to ANS as it sits on top of Mon espace santé / SNDS data assets. Comparable as a national health data governance platform, with partial rather than full overlap with ANS's primary-use identity and exchange mandate.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/esante_gouv_fr
• YouTubeyoutube.com/channel/UCd1zuSaU5cE1lRCpwv_HSMA
• LinkedInlinkedin.com/company/agence-du-numerique-en-sante
• Facebookfacebook.com/AgenceDuNumeriqueEnSante

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Agence du Numérique en Santé