ELIZABETH REGINA CHAN NP
NPI 1255706669
Nurse Practitioner - Adult Health in Suffern, NY

Active since December 10, 2015PECOS Enrolled
100/100
CMS Quality Rating
26 INDIAN ROCK, SUFFERN, NY 10901(845) 368-0100 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2023, Jun 9, 2023, Dec 28, 2020 and 1 more (4 updates tracked since 2015).

About Elizabeth Regina Chan Np NPPES

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

ELIZABETH REGINA CHAN NP (NPI 1255706669) is an individual adult health provider in Suffern, New York, licensed in New York (307568) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255706669
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZABETH REGINA CHANCredential: NP
Location Address26 INDIAN ROCKSuffern, NY 10901-4907
Mailing Address26 Indian RockSuffern, NY 10901-4907 · (845) 368-0100
Sole ProprietorNo
Enumeration DateDecember 10, 2015
Last NPPES UpdateJune 15, 20234 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1255706669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307568
26 INDIAN ROCK, Suffern, NY 10901

Other Names 1

Former Name (1)Elizabeth Baynes

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Regina Chan Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Interventional Cardiology
16303 HORACE HARDING EXPY, SUITE 100
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 944 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 7

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 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.
135 services115 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.
41 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services40 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.
27 services27 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.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 INDIAN ROCK
SUFFERN, NY 10901
Internal Medicine (Cardiovascular Disease)
26 INDIAN ROCK
SUFFERN, NY 10901
Internal Medicine (Cardiovascular Disease)
26 INDIAN ROCK
SUFFERN, NY 10901
Internal Medicine (Cardiovascular Disease)
26 INDIAN ROCK
SUFFERN, NY 10901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 INDIAN ROCK
SUFFERN, NY 10901
Social Worker (Clinical)
26 INDIAN ROCK
SUFFERN, NY 10901
Nurse Practitioner (Family)
26 INDIAN ROCK
SUFFERN, NY 10901

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 Chan's NPI number?

The NPI number for Elizabeth Chan is 1255706669. It was assigned to this individual provider in the NPPES registry on December 10, 2015. The provider is also known as Elizabeth Baynes.

Where is Elizabeth Chan located?

Elizabeth Chan practices at 26 Indian Rock, Suffern, NY 10901. The listed phone number is (845) 368-0100.

What is Elizabeth Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elizabeth Chan enrolled in Medicare?

Yes. Elizabeth Chan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Chan reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Chs Physician Partners, PC (Fresh Meadows, NY). 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 Elizabeth Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Chan was last updated on June 15, 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.