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ELIZABETH EDACHERIL POULOSE
NPI 1205304409
Nurse Practitioner - Primary Care in Burlington, NC

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
1041 KIRKPATRICK RD STE 100, BURLINGTON, NC 27215(336) 538-0565 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2024, Jun 12, 2024, Nov 5, 2018 (3 updates tracked since 2018).

About Elizabeth Edacheril Poulose NPPES

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

ELIZABETH EDACHERIL POULOSE (NPI 1205304409) is an individual primary care provider in Burlington, North Carolina, licensed in North Carolina (5011182) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205304409
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZABETH EDACHERIL POULOSE
Location Address1041 KIRKPATRICK RD STE 100Burlington, NC 27215-8066
Mailing Address1041 Kirkpatrick Rd Ste 100Burlington, NC 27215-8066 · (336) 538-0565
Phone(336) 538-0565
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 5, 2018
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1205304409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 5011182
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5011182 (NC)
1041 KIRKPATRICK RD STE 100, Burlington, NC 27215
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Other Identifiers 1

Other5011182NC · Nurse Practitioner Approval To Practice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Edacheril Poulose 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 ID7719225275
PECOS Enrollment IDI20190208001961
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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services21 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.
23 services23 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
21 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services13 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
14 services14 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

JULIE PENDER FNP
Nurse Practitioner (Family)
1041 KIRKPATRICK RD STE 100
BURLINGTON, NC 27215
Alamance County (336) 538-0565
ELISABETH KATHERINE ANDREWS D.O.
Family Medicine
1041 KIRKPATRICK RD STE 100
BURLINGTON, NC 27215
Alamance County (336) 538-0565
ERIN MECUM PA-C
Physician Assistant
1041 KIRKPATRICK RD STE 100
BURLINGTON, NC 27215
Alamance County (336) 538-0565

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 Poulose's NPI number?

The NPI number for Elizabeth Poulose is 1205304409. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Elizabeth Poulose located?

Elizabeth Poulose practices at 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215. The listed phone number is (336) 538-0565.

What is Elizabeth Poulose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elizabeth Poulose enrolled in Medicare?

Yes. Elizabeth Poulose 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 Elizabeth Poulose accept?

Health plans from Blue Cross and Blue Shield of NC list Elizabeth Poulose 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 Poulose was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.