MARGARITE HELEN ELSEY NP
NPI 1285396242
Nurse Practitioner - Family in Spartanburg, SC

Q: What is Margarite Elsey's NPI number?

The NPI number for Margarite Elsey is 1285396242. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Margarite Elsey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Margarite Elsey was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

151 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301(864) 560-9267(864) 562-5470 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Nov 3, 2021, Oct 13, 2021 and 1 more (4 updates tracked since 2021).

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About Margarite Helen Elsey Np NPPES

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

MARGARITE HELEN ELSEY NP (NPI 1285396242) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (25477) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285396242

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARGARITE HELEN ELSEYCredential: NP

Location Address151 PEACHWOOD CENTRE DRSpartanburg, SC 29301-2575

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-9267

Fax(864) 562-5470

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 7, 2021

Last NPPES UpdateNovember 22, 20214 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1285396242 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 SC · 25477

151 PEACHWOOD CENTRE DR, Spartanburg, SC 29301

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Other Identifiers 4

MedicaidNP7901SC

OtherSCL6356084SC · Medicare Pin

OtherSCL6356067SC · Medicare Pin

OtherSCL635J577SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margarite Helen Elsey 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 ID6608265277

PECOS Enrollment IDI20211120000012

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 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.

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.

57 services55 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

30 services30 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.

19 services18 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29301 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 10

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

CANDACE GREGORY MALONE NP

Nurse Practitioner (Family)