ELIZABETH N MODENE NP
NPI 1184132797
Nurse Practitioner - Family in Tyler, TX

Q: What is Elizabeth Modene's NPI number?

The NPI number for Elizabeth Modene is 1184132797. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Q: What is Elizabeth Modene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Modene was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 10, 2023, Jan 17, 2018 (2 updates tracked since 2018).

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About Elizabeth N Modene Np NPPES

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

ELIZABETH N MODENE NP (NPI 1184132797) is an individual family provider in Tyler, Texas, licensed in Texas (AP113012) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1184132797

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH N MODENECredential: NP

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200

Phone(903) 877-7200

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJanuary 17, 2018

Last NPPES UpdateApril 10, 20232 updates tracked since enumeration

NPPES CertifiedApril 10, 2023

✔ NPI 1184132797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TX · AP113012✔ Licensed in TX · 701932

11937 US HIGHWAY 271, Tyler, TX 75708

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Secondary Practice Location 1

Location 18941 Coit Rd Ste 100Plano, TX 75024-7731 · Phone (972) 668-2200 · Fax (972) 668-2206

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Elizabeth N Modene Np 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 ID9931564713

PECOS Enrollment IDI20230501000551

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 4

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.

298 services194 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.

57 services54 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

35 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX

OwnershipProprietary

CMS Certification Number450475

Location300 Wilson StreetHenderson, TX 75652 · Rusk County

Emergency services Birthing friendly

The University Of Texas Health Science Center At Tyler

Acute Care Hospitals · Tyler, TX

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450690

Location11937 Us Highway 271Tyler, TX 75708 · Smith County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER

Psychiatric Unit