ELISE M HULSEBUS PA
NPI 1508174343
Physician Assistant - Surgical in Augusta, GA

Q: What is Elise Hulsebus's NPI number?

The NPI number for Elise Hulsebus is 1508174343. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Elise Hulsebus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Elise Hulsebus was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2010PECOS Enrolled

1120 15TH STREET, DEPARTMENT OF SURGERY, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Jan 4, 2019, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

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About Elise M Hulsebus Pa NPPES

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

ELISE M HULSEBUS PA (NPI 1508174343) is an individual surgical provider in Augusta, Georgia, licensed in South Carolina (1755) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1508174343

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameELISE M HULSEBUSCredential: PA

Location Address1120 15TH STREET, DEPARTMENT OF SURGERYAugusta, GA 30912-0004

Mailing Address1120 15th St Ste Bi1056Augusta, GA 30912-0004 · (706) 721-3813

Phone(706) 721-8623

Fax(706) 721-1459

Sole ProprietorNo

Enumeration DateSeptember 15, 2010

Last NPPES UpdateAugust 25, 20216 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1508174343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in SC · 1755✔ Licensed in GA · 005910

1120 15TH STREET, Augusta, GA 30912

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Secondary Practice Location 1

Location 11430 Harper St, Building BAugusta, GA 30901-0617 · Phone (706) 724-5451 ext. 122 · Fax (706) 724-5451

Other Identifiers 1

Other005910GA · Ga License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise M Hulsebus Pa 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.

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