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ELISE MICHELLE SHAHAN FNP-C
NPI 1356148647
Nurse Practitioner - Family in Fairbanks, AK

Active since February 25, 2025PECOS Enrolled
1353 W CHENA HILLS DR, FAIRBANKS, AK 99709(907) 750-9620 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elise Michelle Shahan Fnp-c NPPES

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

ELISE MICHELLE SHAHAN FNP-C (NPI 1356148647) is an individual family provider in Fairbanks, Alaska, licensed in Alaska (233874) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356148647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISE MICHELLE SHAHANCredential: FNP-C
Location Address1353 W CHENA HILLS DRFairbanks, AK 99709-5752
Mailing Address1353 W Chena Hills DrFairbanks, AK 99709-5752 · (907) 750-9620
Phone(907) 750-9620
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1356148647 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 AK · 233874
1353 W CHENA HILLS DR, Fairbanks, AK 99709
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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)

Elise Michelle Shahan Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597175547
PECOS Enrollment IDI20251010001965
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 99709 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 Shahan's NPI number?

The NPI number for Elise Shahan is 1356148647. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Elise Shahan located?

Elise Shahan practices at 1353 W Chena Hills Dr, Fairbanks, AK 99709. The listed phone number is (907) 750-9620.

What is Elise Shahan's specialty?

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

Is Elise Shahan enrolled in Medicare?

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

When was this NPI record last updated?

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