JESSICA TATIANA ELLIOT PMHNP
NPI 1174203186
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MA

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
417 LIBERTY ST, SPRINGFIELD, MA 01104(413) 301-9355 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Jul 24, 2023 (2 updates tracked since 2023).

About Jessica Tatiana Elliot Pmhnp NPPES

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

JESSICA TATIANA ELLIOT PMHNP (NPI 1174203186) is an individual psychiatric/mental health provider in Springfield, Massachusetts, licensed in Massachusetts (RN2383335) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174203186
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA TATIANA ELLIOTCredential: PMHNP
Location Address417 LIBERTY STSpringfield, MA 01104-3736
Mailing Address417 Liberty StSpringfield, MA 01104-3736
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1174203186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2383335
417 LIBERTY ST, Springfield, MA 01104

Accepted Insurance

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

Jessica Tatiana Elliot Pmhnp 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 ID547616120
PECOS Enrollment IDI20231102002446
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 Reassignments

2

Medicare enrollment records show Jessica Elliot reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
417 LIBERTY ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 211 clinicians in this Medicare group
Psychiatric Hospital
1233 MAIN ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
62 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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.

Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Registered Nurse
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor (Addiction (Substance Use Disorder))
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Nurse Practitioner (Psychiatric/Mental Health)
417 LIBERTY ST
SPRINGFIELD, MA 01104

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 Jessica Elliot's NPI number?

The NPI number for Jessica Elliot is 1174203186. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Jessica Elliot located?

Jessica Elliot practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 301-9355.

What is Jessica Elliot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Elliot enrolled in Medicare?

Yes. Jessica Elliot 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 organizations bill Medicare for Jessica Elliot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Elliot reassigns Medicare benefits to 2 organizations: Behavioral Health Network Inc (Springfield, MA) and Holyoke Capital Jv, LLC (Holyoke, MA). Each 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 Jessica Elliot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Elliot accept?

Health plans from Harvard Pilgrim Health Care list Jessica Elliot 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 Jessica Elliot was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.