ELYSIA SMALL PA
NPI 1174074991
Physician Assistant - Medical in Flagstaff, AZ

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment
1501 S YALE ST, BUILDING 2 SUITE 150, FLAGSTAFF, AZ 86001(928) 527-4325(928) 527-4327 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Oct 31, 2023, Oct 17, 2016 (3 updates tracked since 2016).

About Elysia Small Pa NPPES

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

ELYSIA SMALL PA (NPI 1174074991) is an individual medical provider in Flagstaff, Arizona, licensed in Arizona (6563) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174074991
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELYSIA SMALLCredential: PA
Location Address1501 S YALE ST, BUILDING 2 SUITE 150Flagstaff, AZ 86001-7304
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 954-7761 · Fax (928) 527-4327
Fax(928) 527-4327
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 17, 2016
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1174074991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 6563
1501 S YALE ST, Flagstaff, AZ 86001

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

Elysia Small Pa 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 ID3072894591
PECOS Enrollment IDI20161221000964
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
27 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
27 services27 patients

Other Providers at the Same Location NPPES 14

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

General Practice
1501 S YALE ST, BLDG 2 SUITE 150
FLAGSTAFF, AZ 86001
Massage Therapist
1501 S YALE ST
FLAGSTAFF, AZ 86001
General Practice
1501 S YALE ST, STE 250
FLAGSTAFF, AZ 86001
Pediatrics
1501 S YALE ST, STE #252
FLAGSTAFF, AZ 86001
Chiropractor
1501 S YALE ST, SUITE 250
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
1501 S YALE ST, STE# 252
FLAGSTAFF, AZ 86001
Chiropractor (Neurology)
1501 S YALE ST, SUITE 250
FLAGSTAFF, AZ 86001
Nurse Practitioner (Pediatrics)
1501 S YALE ST, 252
FLAGSTAFF, AZ 86001

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 Elysia Small's NPI number?

The NPI number for Elysia Small is 1174074991. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Elysia Small located?

Elysia Small practices at 1501 S Yale St Building 2 Suite 150, Flagstaff, AZ 86001. The listed phone number is (928) 527-4325.

What is Elysia Small's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elysia Small enrolled in Medicare?

Yes. Elysia Small 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 Elysia Small accept?

Health plans from Blue Cross Blue Shield of Arizona list Elysia Small 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 Elysia Small was last updated on July 25, 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.