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ELIZABETH CLARE GAYDOSH APRN
NPI 1154940708
Nurse Practitioner - Adult Health in Medina, OH

Active since April 14, 2020PECOS Enrolled
4680 AUTUMN RUN DR, MEDINA, OH 44256(330) 591-1559 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Clare Gaydosh Aprn NPPES

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

ELIZABETH CLARE GAYDOSH APRN (NPI 1154940708) is an individual adult health provider in Medina, Ohio, licensed in Ohio (AG07190196) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154940708
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZABETH CLARE GAYDOSHCredential: APRN
Location Address4680 AUTUMN RUN DRMedina, OH 44256-8821
Mailing Address4680 Autumn Run DrMedina, OH 44256-8821 · (330) 591-1559
Phone(330) 591-1559
Sole ProprietorNo
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1154940708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · AG07190196
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG07190196 (OH)
4680 AUTUMN RUN DR, Medina, OH 44256
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Clare Gaydosh Aprn 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.

Medicare Billing Reassignment

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

Signify Health, LLC
999 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 44256 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Gaydosh's NPI number?

The NPI number for Elizabeth Gaydosh is 1154940708. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Elizabeth Gaydosh located?

Elizabeth Gaydosh practices at 4680 Autumn Run Dr, Medina, OH 44256. The listed phone number is (330) 591-1559.

What is Elizabeth Gaydosh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elizabeth Gaydosh enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Gaydosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gaydosh reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Gaydosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Gaydosh accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Elizabeth Gaydosh 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Gaydosh was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.