DR. ELISE MARIE HENRICKS MD
NPI 1154392850
Family Medicine in Dorchester, MA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
415 COLUMBIA RD, DORCHESTER, MA 02125(617) 740-8075(617) 740-8060 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elise Marie Henricks Md NPPES

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

DR. ELISE MARIE HENRICKS MD (NPI 1154392850) is an individual family medicine provider in Dorchester, Massachusetts, licensed in Massachusetts (156706) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1995).

NPPES Registry Identity

NPI1154392850
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELISE MARIE HENRICKSCredential: MD
Location Address415 COLUMBIA RDDorchester, MA 02125-2424
Mailing Address415 Columbia RdDorchester, MA 02125-2424 · (617) 740-8075 · Fax (617) 740-8060
Fax(617) 740-8060
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1995
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 9, 2012
NPI 1154392850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 156706
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
415 COLUMBIA RD, Dorchester, MA 02125

Other Identifiers 7

Medicare ID-Type UnspecifiedA28992
Medicaid3184846MA
Medicare UPING83095MA
Other156706Tufts
OtherJ19583Hmo Blue
Other710514BMCHarvard Pilgrim
Other44447Aetna/ushealthcare

Accepted Insurance

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

Dr. Elise Marie Henricks Md 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 ID4183748676
PECOS Enrollment IDI20100907000418
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
93 services60 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02125 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims39 services$2.02 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.

Pharmacist
415 COLUMBIA RD
DORCHESTER, MA 02125
Registered Nurse (Case Management)
415 COLUMBIA RD
DORCHESTER, MA 02125
Podiatrist
415 COLUMBIA RD, UPHAMS CORNER HEALTH CENTER
DORCHESTER, MA 02125
Licensed Practical Nurse
415 COLUMBIA RD
DORCHESTER, MA 02125
Registered Nurse (Case Management)
415 COLUMBIA RD
DORCHESTER, MA 02125
Pharmacist
415 COLUMBIA RD
DORCHESTER, MA 02125
Nurse Practitioner (Family)
415 COLUMBIA RD
BOSTON, MA 02125
Physical Therapist
415 COLUMBIA RD
DORCHESTER, MA 02125

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 Elise Henricks's NPI number?

The NPI number for Elise Henricks is 1154392850. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Elise Henricks located?

Elise Henricks practices at 415 Columbia Rd, Dorchester, MA 02125. The listed phone number is (617) 740-8075.

What is Elise Henricks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elise Henricks enrolled in Medicare?

Yes. Elise Henricks 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.

What insurance does Elise Henricks accept?

Health plans from Anthem Blue Cross and Blue Shield list Elise Henricks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elise Henricks affiliated with any hospitals?

According to CMS data, Elise Henricks is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Elise Henricks was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.