MS. NICOLE MICHELLE ELTING NURSE PRACTITIONER - NPI 1104218510

Q: What is Nicole Elting's NPI number?

The NPI number for Nicole Elting is 1104218510. It was assigned to this individual provider in the NPPES registry on February 21, 2015.

Q: What is Nicole Elting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Elting was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Nicole Michelle Elting Nurse Practitioner NPPES

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

MS. NICOLE MICHELLE ELTING NURSE PRACTITIONER (NPI 1104218510) is an individual family provider in Poughkeepsie, New York, licensed in New York (F338948-1) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poughkeepsie, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104218510

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. NICOLE MICHELLE ELTINGCredential: NURSE PRACTITIONER

Location Address159 BARNEGAT RD FL 2Poughkeepsie, NY 12601-5401

Mailing Address111 Clock Tower CmnsBrewster, NY 10509-4055 · (845) 592-4915

Phone(845) 452-9800

Fax(845) 452-7691

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 21, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1104218510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F338948-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 531856-1 (NY)

159 BARNEGAT RD FL 2, Poughkeepsie, NY 12601

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Secondary Practice Location 1

Location 17 Thornwood DrPoughkeepsie, NY 12603-4119 · Phone (845) 532-4214

Other Identifiers 1

MedicaidMEDICAIDNY

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

Ms. Nicole Michelle Elting Nurse Practitioner 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 ID749579266

PECOS Enrollment IDI20160523000883

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 12601 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

Most-billed visit code 99214

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 12

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

ARTHUR G WALCZYK MD

Internal Medicine (Gastroenterology)