ELIISA MARIE STRAND
NPI 1477179596
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Eliisa Strand's NPI number?

The NPI number for Eliisa Strand is 1477179596. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Eliisa Strand's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Eliisa Strand was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2020PECOS Enrolled

1160 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-2128 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2022, Jun 24, 2020 (2 updates tracked since 2020).

On this page

About Eliisa Marie Strand NPPES

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

ELIISA MARIE STRAND (NPI 1477179596) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saginaw, and is a graduate of Central Michigan College Of Medicine (2022).

NPPES Registry Identity

NPI1477179596

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELIISA MARIE STRAND

Location Address1160 W MICHIGAN STIndianapolis, IN 46202-5209

Mailing Address1160 W Michigan StIndianapolis, IN 46202-5209 · (317) 274-2128

Phone(317) 274-2128

Sole ProprietorNo

Medical School CMSCentral Michigan College Of MedicineGraduated 2022

Enumeration DateJune 24, 2020

Last NPPES UpdateApril 20, 20222 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1477179596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1160 W MICHIGAN ST, Indianapolis, IN 46202

Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 Cooper AveSaginaw, MI 48602-5182 · Phone (989) 583-0000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliisa Marie Strand is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678950185

PECOS Enrollment IDI20260603003667

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.

Leave this field empty