ELISE M. TETELMAN PA-C, MBA
NPI 1225530686
Physician Assistant - Medical in San Diego, CA

Active since March 01, 2018PECOS Enrolled
5776 RUFFIN RD, SAN DIEGO, CA 92123(858) 292-1144 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Feb 16, 2023, Jan 12, 2022 and 1 more (4 updates tracked since 2018).

About Elise M. Tetelman Pa-c, Mba NPPES

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

ELISE M. TETELMAN PA-C, MBA (NPI 1225530686) is an individual medical provider in San Diego, California, licensed in California (PA64605) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2017).

NPPES Registry Identity

NPI1225530686
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELISE M. TETELMANCredential: PA-C, MBA
Location Address5776 RUFFIN RDSan Diego, CA 92123-1013
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2017
Enumeration DateMarch 1, 2018
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1225530686 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 CA · PA64605
5776 RUFFIN RD, San Diego, CA 92123

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 (PECOS)

Elise M. Tetelman Pa-c, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587927306
PECOS Enrollment IDI20250910001700
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

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.
17 services13 patients

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Pediatrics)
5776 RUFFIN RD
SAN DIEGO, CA 92123
Nurse Practitioner (Family)
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Specialist
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123

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 Elise Tetelman's NPI number?

The NPI number for Elise Tetelman is 1225530686. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Elise Tetelman located?

Elise Tetelman practices at 5776 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 292-1144.

What is Elise Tetelman's specialty?

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

Is Elise Tetelman enrolled in Medicare?

Yes. Elise Tetelman is registered in the Medicare PECOS enrollment system.

What insurance does Elise Tetelman accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Elise Tetelman 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 Elise Tetelman was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.