ELYSE KORN PA-C
NPI 1407791353
Physician Assistant in Cranston, RI

Q: What is Elyse Korn's NPI number?

The NPI number for Elyse Korn is 1407791353. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Elyse Korn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elyse Korn was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2026PECOS EnrolledAccepts Medicare Assignment

725 RESERVOIR AVE STE 101, CRANSTON, RI 02910(401) 457-1500 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 28, 2026, Apr 20, 2026 (2 updates tracked since 2026).

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About Elyse Korn Pa-c NPPES

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

ELYSE KORN PA-C (NPI 1407791353) is an individual physician assistant in Cranston, Rhode Island, licensed in Rhode Island (PA01903) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407791353

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELYSE KORNCredential: PA-C

Location Address725 RESERVOIR AVE STE 101Cranston, RI 02910-4450

Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375

Phone(401) 457-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 20, 2026

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1407791353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA01903

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

725 RESERVOIR AVE STE 101, Cranston, RI 02910

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Secondary Practice Locations 2

Location 12 Dudley St Ste 200Providence, RI 02905-3252 · Phone (401) 457-1500

Location 22138 Mendon Rd Ste 302Cumberland, RI 02864-3836 · Phone (401) 457-1500

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

Elyse Korn Pa-c 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 ID3375011216

PECOS Enrollment IDI20260508000758

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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 8

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

JORDAN AMADO PA-C

Physician Assistant