ELIZABETH FEGELY UELTZEN PA-C
NPI 1104188127
Physician Assistant - Surgical in Fresno, CA

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 459-3770 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 16, 2020, Jun 22, 2016, Jun 15, 2016 (3 updates tracked since 2016).

About Elizabeth Fegely Ueltzen Pa-c NPPES

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

ELIZABETH FEGELY UELTZEN PA-C (NPI 1104188127) is an individual surgical provider in Fresno, California, licensed in California (22306) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104188127
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIZABETH FEGELY UELTZENCredential: PA-C
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateJanuary 16, 20203 updates tracked since enumeration
✔ NPI 1104188127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 22306
Also ListedPhysician AssistantTaxonomy 363A00000X · License 22306 (CA)
2823 FRESNO ST, Fresno, CA 93721

Other Names 1

Former Name (1)Elizabeth Courtney Fegely Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Fegely Ueltzen Pa-c 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 ID3577712355
PECOS Enrollment IDI20121011000578
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 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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

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.

Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721

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 Elizabeth Ueltzen's NPI number?

The NPI number for Elizabeth Ueltzen is 1104188127. It was assigned to this individual provider in the NPPES registry on June 14, 2012. The provider is also known as Elizabeth Courtney Fegely Pa-C.

Where is Elizabeth Ueltzen located?

Elizabeth Ueltzen practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-3770.

What is Elizabeth Ueltzen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elizabeth Ueltzen enrolled in Medicare?

Yes. Elizabeth Ueltzen 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Ueltzen was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.