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ELYSE BULLOCK O'CONNELL FNP
NPI 1205483682
Family Medicine in Roxboro, NC

Active since August 21, 2019PECOS Enrolled
796 DOCTORS CT, ROXBORO, NC 27573(336) 598-0002 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Sep 9, 2019, Aug 27, 2019 and 1 more (4 updates tracked since 2019).

About Elyse Bullock O'connell Fnp NPPES

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

ELYSE BULLOCK O'CONNELL FNP (NPI 1205483682) is an individual family medicine provider in Roxboro, North Carolina, licensed in North Carolina (265665) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205483682
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELYSE BULLOCK O'CONNELLCredential: FNP
Location Address796 DOCTORS CTRoxboro, NC 27573-4571
Mailing Address796 Doctors CtRoxboro, NC 27573-4571 · (336) 598-0002
Phone(336) 598-0002
Sole ProprietorNo
Enumeration DateAugust 21, 2019
Last NPPES UpdateSeptember 20, 20194 updates tracked since enumeration
✔ NPI 1205483682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 265665
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
796 DOCTORS CT, Roxboro, NC 27573
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Other Names 1

Former Name (1)Elyse Katherine Rose Bullock

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse Bullock O'connell Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27573 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 9

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

ANNA CHAMBERS FNP
Nurse Practitioner (Family)
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
JAMES WINN SHORT M.D.
Internal Medicine
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
LA MONICA HUNTER CPNP
Nurse Practitioner (Pediatrics)
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
MRS. CAROLINE HADLEY FNP-C
Nurse Practitioner (Family)
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
ROXBORO INTERNAL MEDICINE & PEDIATRICS, P.A.
Internal Medicine
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
KELCIE RENAE THAMES DNP-C
Nurse Practitioner (Family)
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
EMERGEORTHO, PA
Internal Medicine
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002
MRS. KRISTEN FREY COLE RN, CPNP
Nurse Practitioner (Pediatrics)
796 DOCTORS CT
ROXBORO, NC 27573
Person County (336) 598-0002

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 Elyse O'connell's NPI number?

The NPI number for Elyse O'connell is 1205483682. It was assigned to this individual provider in the NPPES registry on August 21, 2019. The provider is also known as Elyse Katherine Rose Bullock.

Where is Elyse O'connell located?

Elyse O'connell practices at 796 Doctors Ct, Roxboro, NC 27573. The listed phone number is (336) 598-0002.

What is Elyse O'connell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elyse O'connell enrolled in Medicare?

Yes. Elyse O'connell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elyse O'connell was last updated on September 20, 2019. 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.