ELYSE MARIE ENGEBOSE FNP-C NPI 1609252139

NPI Information

NPI: 1609252139
Provider Name: ELYSE MARIE ENGEBOSE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
PECOS Registration: Yes
Address: 140B SCHOOL CREEK TRL
LUXEMBURG, WI
ZIP 54217
Phone: (920) 845-1370

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NPI Details

Elyse Marie Engebose, FNP-C is a family nurse practitioner in Luxemburg, WI with 10 years of experience. Elyse Marie Engebose, FNP-C NPI is 1609252139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140B SCHOOL CREEK TRL
LUXEMBURG, WI
ZIP 54217-095
Phone: (920) 845-1370
Fax: (920) 845-1379

The NPI 1609252139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Fee covid-19 vac 13 res (HCPCS:0124A)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Administration of influenza virus vaccine (HCPCS:G0008)
Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
Hemoglobin a1c level (HCPCS:83036)
Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 8/6/2015 and was last updated on 8/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	6533-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F07151158	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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