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MRS. ELISE MARIE VAN GORDEN FNP
NPI 1356018436
Nurse Practitioner - Family in Oxford, NY

Active since August 25, 2021PECOS Enrolled
295 WILLIAMS RD, OXFORD, NY 13830(607) 644-5857 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Apr 29, 2024, Aug 25, 2021 (3 updates tracked since 2021).

About Mrs. Elise Marie Van Gorden Fnp NPPES

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

MRS. ELISE MARIE VAN GORDEN FNP (NPI 1356018436) is an individual family provider in Oxford, New York, licensed in New York (348256) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356018436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ELISE MARIE VAN GORDENCredential: FNP
Location Address295 WILLIAMS RDOxford, NY 13830-3221
Mailing Address295 Williams RdOxford, NY 13830-3221 · (607) 644-5857 · Fax (607) 371-7009
Phone(607) 644-5857
Sole ProprietorYes
Enumeration DateAugust 25, 2021
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1356018436 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 NY · 348256
295 WILLIAMS RD, Oxford, NY 13830
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Elise Marie Williams Fnp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Elise Marie Van Gorden Fnp 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 13830 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Van Gorden's NPI number?

The NPI number for Elise Van Gorden is 1356018436. It was assigned to this individual provider in the NPPES registry on August 25, 2021. The provider is also known as Miss Elise Marie Williams Fnp.

Where is Elise Van Gorden located?

Elise Van Gorden practices at 295 Williams Rd, Oxford, NY 13830. The listed phone number is (607) 644-5857.

What is Elise Van Gorden's specialty?

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

Is Elise Van Gorden enrolled in Medicare?

Yes. Elise Van Gorden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Van Gorden was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.