ELISSA ANN DELONG WHNP-BC
NPI 1073924486
Nurse Practitioner - Women's Health in South Burlington, VT
About Elissa Ann Delong Whnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISSA ANN DELONG WHNP-BC (NPI 1073924486) is an individual women's health provider in South Burlington, Vermont, licensed in Oklahoma (84801) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Elissa Ann Delong Whnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Elissa Delong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westville, OK 74965
- Reassigned Medicare billing, Oklahoma enrollment
- 65 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeastern Health System
Acute Care Hospitals · Tahlequah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BURLINGTON, VT 05403
SOUTH BURLINGTON, VT 05403
SOUTH BURLINGTON, VT 05403
SOUTH BURLINGTON, VT 05403
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 Elissa Delong's NPI number?
The NPI number for Elissa Delong is 1073924486. It was assigned to this individual provider in the NPPES registry on May 20, 2014.
Where is Elissa Delong located?
Elissa Delong practices at 185 Tilley Dr, South Burlington, VT 05403. The listed phone number is (802) 862-7338.
What is Elissa Delong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Elissa Delong enrolled in Medicare?
Yes. Elissa Delong 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 Elissa Delong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Delong reassigns Medicare benefits to Northeastern Oklahoma Community Health Centers, Inc (Westville, OK). 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 Elissa Delong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elissa Delong accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Elissa Delong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Elissa Delong affiliated with any hospitals?
According to CMS data, Elissa Delong is affiliated with Northeastern Health System.
When was this NPI record last updated?
The NPPES record for Elissa Delong was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Elissa Ann Delong, WHNP-BC · NPI 1073924486
Women's Health physician in South Burlington, Vermont. Individual provider, active in the CMS NPPES registry since May 20, 2014.
## Identity
- **NPI:** 1073924486 (Entity type: Individual)
- **Enumerated:** May 20, 2014
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 84801 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 TILLEY DR, South Burlington, VT 05403-4484
- **Phone:** (802) 862-7338
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeastern Oklahoma Community Health Centers, Inc (NPI 1821390402, Westville, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073924486) · Data from the CMS NPPES public registry.