SAIDA MOUOTASSIM ELIDRISSI
NPI 1356230494
Nurse Practitioner - Acute Care in Newark, DE

Q: What is Saida Mouotassim Elidrissi's NPI number?

The NPI number for Saida Mouotassim Elidrissi is 1356230494. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Saida Mouotassim Elidrissi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment

4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Saida Mouotassim Elidrissi NPPES

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

SAIDA MOUOTASSIM ELIDRISSI (NPI 1356230494) is an individual acute care provider in Newark, Delaware, licensed in Delaware (LP-0010864) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356230494

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSAIDA MOUOTASSIM ELIDRISSI

Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200

Mailing Address41 Montague RdNewark, DE 19713-1153 · (302) 528-6776

Phone(302) 623-0188

Fax(302) 733-5640

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 2, 2025

Last NPPES UpdateOctober 1, 2025

NPPES CertifiedOctober 1, 2025

✔ NPI 1356230494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in DE · LP-0010864

Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0067141 (DE)

Also ListedNurse PractitionerTaxonomy 363L00000X · License LP-0010864 (DE)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License LP-0010864 (DE)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License LP-0010864 (DE)

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

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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 and accepts Medicare assignment

Saida Mouotassim Elidrissi 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 ID547757353

PECOS Enrollment IDI20251015002325

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 19718 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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 20

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

SHRUTI PURI MD

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