ELISE PAQUIN MD
NPI 1518353754
Family Medicine - Addiction Medicine in Philadelphia, PA

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
1401 ARCH ST LOWR LEVEL, PHILADELPHIA, PA 19102(215) 309-5225 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2023, Mar 18, 2019, May 16, 2018 (3 updates tracked since 2018).

About Elise Paquin Md NPPES

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

ELISE PAQUIN MD (NPI 1518353754) is an individual addiction medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD474561) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1518353754
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameELISE PAQUINCredential: MD
Location Address1401 ARCH ST LOWR LEVELPhiladelphia, PA 19102-1525
Mailing Address2144 Cecil B Moore AvePhiladelphia, PA 19121-4014 · (215) 320-6187
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1518353754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in PA · MD474561
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1401 ARCH ST LOWR LEVEL, Philadelphia, PA 19102

Secondary Practice Location 1

Location 15201 Old York Rd Fl 4Philadelphia, PA 19141-2985 · Phone (215) 390-1500

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Paquin Md 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 ID2062760838
PECOS Enrollment IDI20230614000609
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 Reassignments

3

Medicare enrollment records show Elise Paquin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2144 CECIL B MOORE AVE
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 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.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 Elise Paquin's NPI number?

The NPI number for Elise Paquin is 1518353754. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Elise Paquin located?

Elise Paquin practices at 1401 Arch St Lowr Level, Philadelphia, PA 19102. The listed phone number is (215) 309-5225.

What is Elise Paquin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Elise Paquin enrolled in Medicare?

Yes. Elise Paquin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elise Paquin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Paquin reassigns Medicare benefits to 3 organizations: Methodist Associates In Healthcare, Inc (Philadelphia, PA), Jefferson University Physicians (Philadelphia, PA) and Project Home (Philadelphia, PA). Each 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 Elise Paquin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Paquin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Elise Paquin 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.

Is Elise Paquin affiliated with any hospitals?

According to CMS data, Elise Paquin is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Elise Paquin was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.