ELISE MARIE KLESICK DO
NPI 1073975215
Emergency Medicine in Charlotte, NC
About Elise Marie Klesick Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE MARIE KLESICK DO (NPI 1073975215) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2021-00621) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2018).
NPPES Registry Identity
Specialties & Licenses
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
Elise Marie Klesick Do 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 Reassignments
10Medicare enrollment records show Elise Klesick reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28203
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 99 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 230 clinicians in this Medicare group
Matthews, NC 28104
- Reassigned Medicare billing, North Carolina enrollment
- 77 clinicians in this Medicare group
Albemarle, NC 28001
- Reassigned Medicare billing, North Carolina enrollment
- 144 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina and Virginia enrollments
- 557 clinicians in this Medicare group
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 183 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 200 clinicians in this Medicare group
- Reassigned Medicare billing, West Virginia enrollment
- 207 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital- Emory Healthcare
Acute Care Hospitals · Columbus, GAMemorial Mission Hospital And Asheville Surgery Ce
Acute Care Hospitals · Asheville, NCTransylvania Regional Hospital, Inc
Critical Access Hospitals · Brevard, NCWythe County Community Hospital
Acute Care Hospitals · Wytheville, VATwin County Regional Hospital
Acute Care Hospitals · Galax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Elise Klesick's NPI number?
The NPI number for Elise Klesick is 1073975215. It was assigned to this individual provider in the NPPES registry on March 27, 2016.
Where is Elise Klesick located?
Elise Klesick practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2171.
What is Elise Klesick's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Elise Klesick enrolled in Medicare?
Yes. Elise Klesick 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 organizations bill Medicare for Elise Klesick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Klesick reassigns Medicare benefits to 10 organizations: Carolinas Medical Center (Charlotte, NC), Ballantyne Emergency Physicians PLLC (Charlotte, NC), Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC), Stallings Emergency Physicians, PLLC (Matthews, NC), Western Carolina Emergency Physicians, PLLC (Albemarle, NC) and 5 more organizations, listed in the Medicare section above. Each 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 Elise Klesick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elise Klesick affiliated with any hospitals?
According to CMS data, Elise Klesick is affiliated with St Francis Hospital- Emory Healthcare, Memorial Mission Hospital And Asheville Surgery Ce, Transylvania Regional Hospital, Inc, Wythe County Community Hospital and Twin County Regional Hospital.
When was this NPI record last updated?
The NPPES record for Elise Klesick was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elise Marie Klesick, DO · NPI 1073975215
Emergency Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 27, 2016.
## Identity
- **NPI:** 1073975215 (Entity type: Individual)
- **Enumerated:** March 27, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2021-00621 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 BLYTHE BLVD, Charlotte, NC 28203-5812
- **Phone:** (704) 355-2171
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Carolinas Medical Center (NPI 1295789907, Charlotte, NC); Ballantyne Emergency Physicians PLLC (NPI 1437939691, Charlotte, NC); Emergency Medicine Physicians Of Mecklenburg County, PLLC (NPI 1912232182, Charlotte, NC); Stallings Emergency Physicians, PLLC (NPI 1235728031, Matthews, NC); Western Carolina Emergency Physicians, PLLC (NPI 1134391758, Albemarle, NC); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western Un Of Hlth Sciences, Col Of Podiatric Med, class of 2018
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073975215) · Data from the CMS NPPES public registry.