ELISE MARIE INGRAM PA-C
NPI 1336650712
Physician Assistant - Medical in New York, NY

Active since October 12, 2017PECOS Enrolled
156 WILLIAM ST RM 303, NEW YORK, NY 10038(888) 803-3370 Get Directions Write a Review

NPPES record last updated: November 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2024, Apr 30, 2018, Oct 12, 2017 (3 updates tracked since 2017).

About Elise Marie Ingram Pa-c NPPES

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

ELISE MARIE INGRAM PA-C (NPI 1336650712) is an individual medical provider in New York, New York and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336650712
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELISE MARIE INGRAMCredential: PA-C
Location Address156 WILLIAM ST RM 303New York, NY 10038-5307
Mailing Address1001 West StCarthage, NY 13619-9776 · (315) 493-1000 · Fax (315) 493-0105
Sole ProprietorNo
Enumeration DateOctober 12, 2017
Last NPPES UpdateNovember 17, 20243 updates tracked since enumeration
NPPES CertifiedNovember 17, 2024
NPI 1336650712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 021853 (NY)
156 WILLIAM ST RM 303, New York, NY 10038

Other Names 1

Former Name (1)Elise Marie Van Pelt

Secondary Practice Locations 2

Location 13130 N Swan RdTucson, AZ 85712-1227 · Phone (315) 941-8588
Location 23 Bridge StCarthage, NY 13619-1360 · Phone (315) 493-3300 · Fax (315) 493-3306

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elise Marie Ingram Pa-c 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.

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.

Physician Assistant
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Physician Assistant
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Family Medicine
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Nurse Practitioner (Primary Care)
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Physician Assistant
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Radiology (Vascular & Interventional Radiology)
156 WILLIAM ST RM 303
NEW YORK, NY 10038
General Practice
156 WILLIAM ST RM 303
NEW YORK, NY 10038
Family Medicine
156 WILLIAM ST RM 303
NEW YORK, NY 10038

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 Ingram's NPI number?

The NPI number for Elise Ingram is 1336650712. It was assigned to this individual provider in the NPPES registry on October 12, 2017. The provider is also known as Elise Marie Van Pelt.

Where is Elise Ingram located?

Elise Ingram practices at 156 William St Rm 303, New York, NY 10038. The listed phone number is (888) 803-3370.

What is Elise Ingram's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elise Ingram enrolled in Medicare?

Yes. Elise Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Ingram was last updated on November 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.