DR. ELIZABETH SHANNON ELLIOT D.O.
NPI 1013919109
Internal Medicine in Traverse City, MI

Q: What is Elizabeth Elliot's NPI number?

The NPI number for Elizabeth Elliot is 1013919109. It was assigned to this individual provider in the NPPES registry on June 2, 2005. The provider is also known as Elizabeth Shannon Wireman D.O..

Q: What is Elizabeth Elliot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Elliot was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment

5041 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0600(231) 935-0613 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Nov 24, 2020 (2 updates tracked since 2020).

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About Dr. Elizabeth Shannon Elliot D.o. NPPES

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

DR. ELIZABETH SHANNON ELLIOT D.O. (NPI 1013919109) is an individual internal medicine provider in Traverse City, Michigan, licensed in Michigan (5101012067) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1013919109

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ELIZABETH SHANNON ELLIOTCredential: D.O.

Location Address5041 N ROYAL DRTraverse City, MI 49684-6986

Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-0600 · Fax (231) 935-0613

Phone(231) 935-0600

Fax(231) 935-0613

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1993

Enumeration DateJune 2, 2005

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1013919109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101012067

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 5101012067 (MI)

5041 N ROYAL DR, Traverse City, MI 49684

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Other Names 1

Former Name (1)Elizabeth Shannon Wireman D.o.

Other Identifiers 4

Other1013919109MI · Npi #

Other70-0-F32947-0MI · Bcbs Cpin #

Other70-0-F32947-0MI · Bcbs Cpin

Medicaid4846781MI

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

Dr. Elizabeth Shannon Elliot D.o. 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 ID5496718389

PECOS Enrollment IDI20251117000108

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 Elizabeth Elliot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boulder Community Health

1,041 mi

Urgent Care

101 ERIE PKWY STE 101
Erie, CO 80516

Reassigned Medicare billing, Colorado enrollment
283 clinicians in this Medicare group

NPI 1174179964 (303) 415-5810

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

291 services161 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

156 services156 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

119 services89 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

60 services60 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

59 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers19 claims71 services$6.68 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers12 claims69 services$23.33 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$67.87 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims60 services$2.59 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims15 services$91.91 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

JUDITH L RAMSDELL, MD, PC

Internal Medicine (Medical Oncology)

5041 N ROYAL DR, SUITE 1
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0777

NEESHA ELIZABETH FOURNIER MD

Internal Medicine