ELEYA SCHRAMM CRNP
NPI 1255045829
Nurse Practitioner - Family in Southampton, PA

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
57 STREET RD UNIT 4, SOUTHAMPTON, PA 18966(215) 754-0033 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2025, Jan 9, 2023 (2 updates tracked since 2023).

About Eleya Schramm Crnp NPPES

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

ELEYA SCHRAMM CRNP (NPI 1255045829) is an individual family provider in Southampton, Pennsylvania, licensed in Pennsylvania (SP026933) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255045829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELEYA SCHRAMMCredential: CRNP
Location Address57 STREET RD UNIT 4Southampton, PA 18966-3100
Mailing Address3880 Cephas Child Rd Unit 1Doylestown, PA 18902-9031 · (215) 622-5146
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 9, 2023
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1255045829 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
License✔ Licensed in PA · SP026933
57 STREET RD UNIT 4, Southampton, PA 18966

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

Eleya Schramm Crnp 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 ID1254787112
PECOS Enrollment IDI20231028000225
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 Eleya Schramm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
2019 WELSH RD
Dresher, PA 19025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 21 clinicians in this Medicare group
Urgent Care
57 STREET RD UNIT 4
Southampton, PA 18966
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 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 3

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.

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.
34 services34 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.
29 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18966 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

Clinic/Center (Urgent Care)
57 STREET RD UNIT 4
SOUTHAMPTON, PA 18966

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 Eleya Schramm's NPI number?

The NPI number for Eleya Schramm is 1255045829. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Eleya Schramm located?

Eleya Schramm practices at 57 Street Rd Unit 4, Southampton, PA 18966. The listed phone number is (215) 754-0033.

What is Eleya Schramm's specialty?

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

Is Eleya Schramm enrolled in Medicare?

Yes. Eleya Schramm 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 Eleya Schramm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eleya Schramm reassigns Medicare benefits to 2 organizations: Carbon Health Medical Group Of Florida PA (Dresher, PA) and Urgent Care Clinic PLLC (Southampton, PA). 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 Eleya Schramm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eleya Schramm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Eleya Schramm 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 Eleya Schramm 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.