ELISE D BALLARD NP
NPI 1275385361
Nurse Practitioner - Family in Merrillville, IN

Active since April 03, 2024PECOS EnrolledAccepts Medicare Assignment
521 E 86TH AVE, MERRILLVILLE, IN 46410(219) 769-5227(219) 769-7355 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Jun 10, 2024, Apr 3, 2024 (3 updates tracked since 2024).

About Elise D Ballard Np NPPES

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

ELISE D BALLARD NP (NPI 1275385361) is an individual family provider in Merrillville, Indiana, licensed in Indiana (71015171A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275385361
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISE D BALLARDCredential: NP
Location Address521 E 86TH AVEMerrillville, IN 46410-6173
Mailing Address521 E 86th Ave Ste KMerrillville, IN 46410-6236 · (219) 769-5227 · Fax (219) 769-7355
Fax(219) 769-7355
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2024
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1275385361 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 IN · 71015171A
521 E 86TH AVE, Merrillville, IN 46410

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

Elise D Ballard Np 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 ID4284072190
PECOS Enrollment IDI20240410002500
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 Elise Ballard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
801 MACARTHUR BLVD, STE 400A
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Nephrology Specialists, P.C.
  • 11 clinicians in this Medicare group
Nephrology
120 W 22ND ST STE 200
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 161 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

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 15

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

Counselor (Mental Health)
521 E 86TH AVE
MERRILLVILLE, IN 46410
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410
Counselor (Mental Health)
521 E 86TH AVE
MERRILLVILLE, IN 46410
Clinical Medical Laboratory
521 E 86TH AVE
MERRILLVILLE, IN 46410
Internal Medicine
521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410
Orthopaedic Surgery
521 E 86TH AVE, SUITE P
MERRILLVILLE, IN 46410
Physical Therapist
521 E 86TH AVE, SUITE J
MERRILLVILLE, IN 46410
Nurse Practitioner (Adult Health)
521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

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 Ballard's NPI number?

The NPI number for Elise Ballard is 1275385361. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Elise Ballard located?

Elise Ballard practices at 521 E 86th Ave, Merrillville, IN 46410. The listed phone number is (219) 769-5227.

What is Elise Ballard's specialty?

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

Is Elise Ballard enrolled in Medicare?

Yes. Elise Ballard 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 Elise Ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Ballard reassigns Medicare benefits to 2 organizations: Nephrology Specialists, PC. (Munster, IN) and Nephrology Associates Of Northern Illinois, Ltd. (Oak Brook, IL). 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 Elise Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Ballard accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Elise Ballard 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.

Is Elise Ballard affiliated with any hospitals?

According to CMS data, Elise Ballard is affiliated with Methodist Hospitals Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Elise Ballard was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.