ELYSE ST. HILAIRE
NPI 1497234744
Social Worker - Clinical in Bedford, NH

Active since August 08, 2018PECOS Enrolled
25 S RIVER RD STE 307, BEDFORD, NH 03110(603) 242-2296 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elyse St. Hilaire NPPES

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

ELYSE ST. HILAIRE (NPI 1497234744) is an individual clinical provider in Bedford, New Hampshire, licensed in New Hampshire (2484) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497234744
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELYSE ST. HILAIRE
Location Address25 S RIVER RD STE 307Bedford, NH 03110-6716
Mailing Address7 Daniel RdDerry, NH 03038-5275 · (603) 391-9219
Sole ProprietorNo
Enumeration DateAugust 8, 2018
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1497234744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NH · 2484
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
25 S RIVER RD STE 307, Bedford, NH 03110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse St. Hilaire 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 Elyse St. Hilaire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
25 S RIVER RD STE 307
Bedford, NH 03110
  • Reassigned Medicare billing, New Hampshire enrollment
  • 13 clinicians in this Medicare group

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 03110 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
$0.00 typical visit price
range $57.75 – $174.26
Typical copayment $0.00 (range $14.43 – $43.56)
Most-billed visit code NA
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 3

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

Social Worker (Clinical)
25 S RIVER RD STE 307
BEDFORD, NH 03110
Counselor (Mental Health)
25 S RIVER RD STE 307
BEDFORD, NH 03110
Social Worker (Clinical)
25 S RIVER RD STE 307
BEDFORD, NH 03110

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 Elyse St. Hilaire's NPI number?

The NPI number for Elyse St. Hilaire is 1497234744. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Elyse St. Hilaire located?

Elyse St. Hilaire practices at 25 S River Rd Ste 307, Bedford, NH 03110. The listed phone number is (603) 242-2296.

What is Elyse St. Hilaire's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elyse St. Hilaire enrolled in Medicare?

Yes. Elyse St. Hilaire is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elyse St. Hilaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyse St. Hilaire reassigns Medicare benefits to Optum Behavioral Care Of Delaware, Inc. (Bedford, NH). 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 Elyse St. Hilaire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elyse St. Hilaire accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Elyse St. Hilaire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elyse St. Hilaire was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.