ELISA NICOLE KERSHAW PA-C
NPI 1124570171
Physician Assistant - Surgical in Wilmington, DE

Active since October 25, 2016PECOS Enrolled
701 N CLAYTON ST, WILMINGTON, DE 19805(302) 421-4100 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Oct 25, 2016 (2 updates tracked since 2016).

About Elisa Nicole Kershaw Pa-c NPPES

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

ELISA NICOLE KERSHAW PA-C (NPI 1124570171) is an individual surgical provider in Wilmington, Delaware, licensed in Delaware (C5-0001099) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124570171
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELISA NICOLE KERSHAWCredential: PA-C
Location Address701 N CLAYTON STWilmington, DE 19805-3165
Mailing Address30 Lawrence Rd Ste 700Broomall, PA 19008-3301 · (484) 470-6221
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
NPI 1124570171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in DE · C5-0001099
701 N CLAYTON ST, Wilmington, DE 19805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elisa Nicole Kershaw Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$67.34 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 N CLAYTON ST
WILMINGTON, DE 19805
Durable Medical Equipment & Medical Supplies
701 N CLAYTON ST, ST FRANCIS HOSPITAL MEDICAL SERVICES BLDG, STE 600
WILMINGTON, DE 19805
Nurse's Aide
701 N CLAYTON ST, ST. FRANCIS MEDICAL SERVICES BUILDING, SUITE 401
WILMINGTON, DE 19805
Physician Assistant
701 N CLAYTON ST
WILMINGTON, DE 19805
Internal Medicine (Gastroenterology)
701 N CLAYTON ST
WILMINGTON, DE 19805
General Acute Care Hospital
701 N CLAYTON ST
WILMINGTON, DE 19805
Hospitalist
701 N CLAYTON ST
WILMINGTON, DE 19805
Anesthesiology
701 N CLAYTON ST
WILMINGTON, DE 19805

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 Elisa Kershaw's NPI number?

The NPI number for Elisa Kershaw is 1124570171. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Elisa Kershaw located?

Elisa Kershaw practices at 701 N Clayton St, Wilmington, DE 19805. The listed phone number is (302) 421-4100.

What is Elisa Kershaw's specialty?

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

Is Elisa Kershaw enrolled in Medicare?

Yes. Elisa Kershaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisa Kershaw was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.