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ELIZABETH FAY WASYLOW
NPI 1417580705
Nurse Practitioner - Acute Care in Scottsboro, AL

Active since February 15, 2020PECOS Enrolled
1022 COUNTY ROAD 28, SCOTTSBORO, AL 35768(256) 609-8023 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2021, Feb 15, 2020 (2 updates tracked since 2020).

About Elizabeth Fay Wasylow NPPES

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

ELIZABETH FAY WASYLOW (NPI 1417580705) is an individual acute care provider in Scottsboro, Alabama, licensed in Alabama (1-081299) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417580705
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH FAY WASYLOW
Location Address1022 COUNTY ROAD 28Scottsboro, AL 35768-6458
Mailing Address1022 County Road 28Scottsboro, AL 35768-6458 · (256) 609-8023
Phone(256) 609-8023
Sole ProprietorNo
Enumeration DateFebruary 15, 2020
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1417580705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in AL · 1-081299✔ Licensed in TN · 27528
1022 COUNTY ROAD 28, Scottsboro, AL 35768
Open in Google Maps ↗

Other Identifiers 2

Other2019056163Ancc
Other1-081299AL · Nursing License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Fay Wasylow 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Wasylow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services PC
97 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Alabama enrollment
  • 89 clinicians in this Medicare group
NPI 1336748300 (615) 673-4455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35768 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 Elizabeth Wasylow's NPI number?

The NPI number for Elizabeth Wasylow is 1417580705. It was assigned to this individual provider in the NPPES registry on February 15, 2020.

Where is Elizabeth Wasylow located?

Elizabeth Wasylow practices at 1022 County Road 28, Scottsboro, AL 35768. The listed phone number is (256) 609-8023.

What is Elizabeth Wasylow's specialty?

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

Is Elizabeth Wasylow enrolled in Medicare?

Yes. Elizabeth Wasylow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Wasylow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wasylow reassigns Medicare benefits to Monogram Health Professional Services PC (Brentwood, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Wasylow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Wasylow was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.