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MRS. MODISE ELMINE-DAUTRUCHE MSN,NP
NPI 1316620214
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since August 08, 2023PECOS Enrolled
541 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-3480(718) 245-5587 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Aug 8, 2023 (2 updates tracked since 2023).

About Mrs. Modise Elmine-dautruche Msn,np NPPES

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

MRS. MODISE ELMINE-DAUTRUCHE MSN,NP (NPI 1316620214) is an individual adult health provider in Brooklyn, New York, licensed in New York (31176801) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316620214
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MODISE ELMINE-DAUTRUCHECredential: MSN,NP
Location Address541 CLARKSON AVEBrooklyn, NY 11203
Mailing Address900 Franklin AveValley Stream, NY 11580-2145
Phone(718) 245-3480
Fax(718) 245-5587
Sole ProprietorNo
Enumeration DateAugust 8, 2023
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1316620214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 31176801
Also ListedRegistered NurseTaxonomy 163W00000X · License 543061-1 (NY)
541 CLARKSON AVE, Brooklyn, NY 11203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Modise Elmine-dautruche Msn,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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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.

Other Providers at the Same Location NPPES 3

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

PAULETTE T DONALD CDN
Nutritionist
541 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-2817
SARAH AFZAAL
Dietitian, Registered
541 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 683-6561
DR. ERIC KAIHWAN WEI MD
Emergency Medicine
541 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-3131

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 Modise Elmine-dautruche's NPI number?

The NPI number for Modise Elmine-dautruche is 1316620214. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Modise Elmine-dautruche located?

Modise Elmine-dautruche practices at 541 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3480.

What is Modise Elmine-dautruche's specialty?

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

Is Modise Elmine-dautruche enrolled in Medicare?

Yes. Modise Elmine-dautruche is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Modise Elmine-dautruche was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.