1. Home
  2. Directory
  3. California
  4. Oakland
  5. Nurse Practitioner
  6. NPI Profile

ELIZABETH HAUPERT RN
NPI 1114680824
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Active since October 19, 2021PECOS Enrolled
1605 JEFFERSON ST, OAKLAND, CA 94612(510) 923-1099(510) 923-0894 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, May 3, 2023, Dec 16, 2022 and 2 more (5 updates tracked since 2021).

About Elizabeth Haupert Rn NPPES

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

ELIZABETH HAUPERT RN (NPI 1114680824) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (95023290) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114680824
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH HAUPERTCredential: RN
Location Address1605 JEFFERSON STOakland, CA 94612-1215
Mailing Address1605 Jefferson StOakland, CA 94612-1215 · (510) 923-1099 · Fax (510) 923-0894
Phone(510) 923-1099
Fax(510) 923-0894
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 19, 2021
Last NPPES UpdateOctober 15, 20245 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1114680824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95023290
Also ListedRegistered NurseTaxonomy 163W00000X · License 533963 (CA)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 533963 (CA)
1605 JEFFERSON ST, Oakland, CA 94612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Haupert Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911420187
PECOS Enrollment IDI20250327003674
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 Billing Reassignment

Medicare enrollment records show Elizabeth Haupert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telecare Corporation
0.5 mi
Mental Health (Including Community Mental Health Center)
280 17TH ST
Oakland, CA 94612
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
NPI 1417033663 (510) 238-5020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

MR. JUSTIN COLWELL LCSW
Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099
SUSAN ALEXMAN
Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 973-9640
MS. SHARLETT BARNETT ROSE BS, MS
Counselor (Mental Health)
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 714-0996
BONITA HOUSE, INC.
Case Management
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099
KASSANDRA GUTIERREZ
Rehabilitation Practitioner
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099
MAREA M. MURRAY MSW, LCSW
Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099
EMILY A MATTHEW
Nurse Practitioner (Psychiatric/Mental Health)
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099
JESSICA CHUNG
Student in an Organized Health Care Education/Training Program
1605 JEFFERSON ST
OAKLAND, CA 94612
Alameda County (510) 923-1099

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 Haupert's NPI number?

The NPI number for Elizabeth Haupert is 1114680824. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Elizabeth Haupert located?

Elizabeth Haupert practices at 1605 Jefferson St, Oakland, CA 94612. The listed phone number is (510) 923-1099.

What is Elizabeth Haupert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elizabeth Haupert enrolled in Medicare?

Yes. Elizabeth Haupert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Haupert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Haupert reassigns Medicare benefits to Telecare Corporation (Oakland, CA). 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 Elizabeth Haupert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Haupert was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.