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ELISA GAO FNP-BC
NPI 1124824420
Nurse Practitioner in Southborough, MA

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment
24 NEWTON ST, SOUTHBOROUGH, MA 01772(508) 460-3250(508) 453-8152 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, May 6, 2025, Mar 5, 2025 and 1 more (4 updates tracked since 2025).

About Elisa Gao Fnp-bc NPPES

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

ELISA GAO FNP-BC (NPI 1124824420) is an individual nurse practitioner in Southborough, Massachusetts, licensed in Massachusetts (RN2362747) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124824420
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELISA GAOCredential: FNP-BC
Location Address24 NEWTON STSouthborough, MA 01772-1215
Mailing Address5 Neponset St, Attn:medical Staff ServicesWorcester, MA 01606-2714 · (508) 852-0600
Phone(508) 460-3250
Fax(508) 453-8152
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1124824420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2362747
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2362747 (MA)
24 NEWTON ST, Southborough, MA 01772
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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

Elisa Gao Fnp-bc 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 ID3173004041
PECOS Enrollment IDI20260227003226
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 Elisa Gao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reliant Medical Group, Inc
14 mi
Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
NPI 1720017528 (508) 852-0600

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 01772 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

FRANK CHAU M.D.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
HANNA MARGARET BERRY NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500
CATHERINE ANNE LANG PHARMD
Pharmacist
24 NEWTON ST, WALGREENS PHARMACY
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-5323
AMEE RATHOD M.D.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500
JUSTIN NATHANIEL DORFMAN D.O.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
MARIJEAN LAMOUREAUX RD,LDN,CDE
Dietitian, Registered (Nutrition, Pediatric)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3100
DR. MAI CHU O.D.
Optometrist
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (084) 603-1505
GRACE C WINSHIP NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250

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 Gao's NPI number?

The NPI number for Elisa Gao is 1124824420. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Elisa Gao located?

Elisa Gao practices at 24 Newton St, Southborough, MA 01772. The listed phone number is (508) 460-3250.

What is Elisa Gao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elisa Gao enrolled in Medicare?

Yes. Elisa Gao 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 organization bills Medicare for Elisa Gao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Gao reassigns Medicare benefits to Reliant Medical Group, Inc (Worcester, MA). 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 Elisa Gao'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 Elisa Gao was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.