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ELYSE SHANNON POPE
NPI 1053826669
Physician Assistant in Raleigh, NC

Active since December 05, 2017PECOS Enrolled
1616 E MILLBROOK RD STE 140, RALEIGH, NC 27609(919) 897-8784 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 16, 2022, May 3, 2022, Jul 15, 2021 and 1 more (4 updates tracked since 2017).

About Elyse Shannon Pope NPPES

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

ELYSE SHANNON POPE (NPI 1053826669) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-11927) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1053826669
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELYSE SHANNON POPE
Location Address1616 E MILLBROOK RD STE 140Raleigh, NC 27609-4968
Mailing Address3505 Sheffield DrRocky Mount, NC 27803-1231 · (252) 343-3796
Phone(919) 897-8784
Sole ProprietorNo
Enumeration DateDecember 5, 2017
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1053826669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11927
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1616 E MILLBROOK RD STE 140, Raleigh, NC 27609
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Secondary Practice Location 1

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 981-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse Shannon Pope is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 2

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

TRUE NORTH HEALTH NAVIGATION LLC
Emergency Medicine
1616 E MILLBROOK RD STE 140
RALEIGH, NC 27609
Wake County (919) 897-8784
DISPATCHHEALTH, PC
Emergency Medicine
1616 E MILLBROOK RD STE 140
RALEIGH, NC 27609
Wake County (919) 897-8784

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 Elyse Pope's NPI number?

The NPI number for Elyse Pope is 1053826669. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Elyse Pope located?

Elyse Pope practices at 1616 E Millbrook Rd Ste 140, Raleigh, NC 27609. The listed phone number is (919) 897-8784.

What is Elyse Pope's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elyse Pope enrolled in Medicare?

Yes. Elyse Pope is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elyse Pope was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.