MISS ELYSSA MARIE ELY APRN NPI 1861913428

NPI Information

  • NPI: 1861913428
  • Provider Name: MISS ELYSSA MARIE ELY, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 CEDAR ST
    BB 114
    NEW HAVEN, CT
    ZIP 06510
  • Phone: (203) 785-4184

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NPI Details

MISS Elyssa Marie Ely, APRN is an adult health nurse practitioner in New Haven, CT with 8 years of experience. MISS Elyssa Marie Ely, APRN NPI is 1861913428. 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:

330 CEDAR ST
BB 114
NEW HAVEN, CT
ZIP 06510-206
Phone: (203) 785-4184
Fax: (203) 785-7068

The NPI 1861913428 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, 20-29 minutes (HCPCS:99213)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)

The enumeration date for this NPI number is 7/4/2017 and was last updated on 8/25/2024.

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
1163WN0300XRegistered NurseNephrology10.09895CONNECTICUTNo
2363LA2200XNurse PractitionerAdult Health12.007063CONNECTICUTYes

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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