ELMYRA V. ENCARNACION MD
NPI 1093762270
Psychiatry & Neurology - Neurology in Wilkes Barre, PA
About Elmyra V. Encarnacion Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELMYRA V. ENCARNACION MD (NPI 1093762270) is an individual neurology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD422042) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Elmyra V. Encarnacion Md 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
5Medicare enrollment records show Elmyra Encarnacion reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 547 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 clinicians in this Medicare group
Fairbanks, AK 99709
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Remote Telehealth Services, PA
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Elmyra Encarnacion's NPI number?
The NPI number for Elmyra Encarnacion is 1093762270. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Elmyra Encarnacion located?
Elmyra Encarnacion practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-6026.
What is Elmyra Encarnacion's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Elmyra Encarnacion enrolled in Medicare?
Yes. Elmyra Encarnacion 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 Elmyra Encarnacion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elmyra Encarnacion reassigns Medicare benefits to 5 organizations: Geisinger Clinic (Wilkes Barre, PA), University Of Maryland Community Medical Group, Inc. (Baltimore, MD), Mary Washington Healthcare Physicians (Fredericksburg, VA), Sanford Bismarck (Bismarck, ND) and Remote Telehealth Services Texas, PLLC (Fairbanks, AK). 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 Elmyra Encarnacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elmyra Encarnacion accept?
Health plans from Blue Cross Blue Shield of North Dakota, Moda Health Plan, Inc., Sanford Health Plan and Security Health Plan list Elmyra Encarnacion 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 Elmyra Encarnacion affiliated with any hospitals?
According to CMS data, Elmyra Encarnacion is affiliated with Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Elmyra Encarnacion was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Elmyra V. Encarnacion, MD · NPI 1093762270
Neurology physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1093762270 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD422042 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-6026 · **Fax:** (570) 808-3208
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1366492902, Wilkes Barre, PA); University Of Maryland Community Medical Group, Inc. (NPI 1477530624, Baltimore, MD); Mary Washington Healthcare Physicians (NPI 1295999852, Fredericksburg, VA); Sanford Bismarck (NPI 1811941172, Bismarck, ND); Remote Telehealth Services Texas, PLLC (NPI 1760077747, Fairbanks, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 1882268-01 (TX); Other 8W9869 (TX); Other P00455664 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1093762270) · Data from the CMS NPPES public registry.