ELISABETH NIESS CNM
NPI 1003331323
Advanced Practice Midwife in Santa Rosa, CA

Active since August 08, 2017PECOS EnrolledAccepts Medicare Assignment
500 DOYLE PARK DR STE 103, SANTA ROSA, CA 95405(707) 579-1102(707) 579-1386 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Elisabeth Niess Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISABETH NIESS CNM (NPI 1003331323) is an individual advanced practice midwife in Santa Rosa, California and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003331323
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameELISABETH NIESSCredential: CNM
Location Address500 DOYLE PARK DR STE 103Santa Rosa, CA 95405-4559
Mailing Address500 Doyle Park Dr Ste 103Santa Rosa, CA 95405-4559 · (707) 579-1102 · Fax (707) 579-1386
Fax(707) 579-1386
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003331323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
500 DOYLE PARK DR STE 103, Santa Rosa, CA 95405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Niess Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901162858
PECOS Enrollment IDI20171108002609
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elisabeth Niess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
500 DOYLE PARK DR STE 103
SANTA ROSA, CA 95405
Nurse Practitioner
500 DOYLE PARK DR STE 103
SANTA ROSA, CA 95405
Advanced Practice Midwife
500 DOYLE PARK DR STE 103
SANTA ROSA, CA 95405
Advanced Practice Midwife
500 DOYLE PARK DR STE 103
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR STE 103
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Niess's NPI number?

The NPI number for Elisabeth Niess is 1003331323. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Elisabeth Niess located?

Elisabeth Niess practices at 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405. The listed phone number is (707) 579-1102.

What is Elisabeth Niess's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Elisabeth Niess enrolled in Medicare?

Yes. Elisabeth Niess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elisabeth Niess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Niess reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisabeth Niess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elisabeth Niess was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.