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ELISA PANCHYSHYN
NPI 1538779749
Counselor - Professional in Roseville, MN

Active since August 03, 2020PECOS Enrolled
1711 COUNTY ROAD B W STE 200S, ROSEVILLE, MN 55113(651) 486-4828 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Aug 3, 2020 (2 updates tracked since 2020).

About Elisa Panchyshyn NPPES

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

ELISA PANCHYSHYN (NPI 1538779749) is an individual professional provider in Roseville, Minnesota and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538779749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISA PANCHYSHYN
Location Address1711 COUNTY ROAD B W STE 200SRoseville, MN 55113-4068
Mailing Address6221 Clinton AveRichfield, MN 55423-1649 · (952) 491-3196
Phone(651) 486-4828
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 3, 2020
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1538779749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1711 COUNTY ROAD B W STE 200S, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Panchyshyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597208512
PECOS Enrollment IDI20240619000496
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

2

Medicare enrollment records show Elisa Panchyshyn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Counseling Services, LLC
3.3 mi
Marriage & Family Therapist
3499 LEXINGTON AVE N STE 100A
Saint Paul, MN 55126
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1093146037 (651) 317-3723
Minnesota Renewal Center
3.3 mi
Counselor
3499 LEXINGTON AVE N, SUITE 100
St. Paul, MN 55126
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
NPI 1326165630 (651) 486-4828

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

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 Elisa Panchyshyn's NPI number?

The NPI number for Elisa Panchyshyn is 1538779749. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Elisa Panchyshyn located?

Elisa Panchyshyn practices at 1711 County Road B W Ste 200S, Roseville, MN 55113. The listed phone number is (651) 486-4828.

What is Elisa Panchyshyn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elisa Panchyshyn enrolled in Medicare?

Yes. Elisa Panchyshyn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elisa Panchyshyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Panchyshyn reassigns Medicare benefits to 2 organizations: Cook Counseling Services, LLC (Saint Paul, MN) and Minnesota Renewal Center (St. Paul, MN). 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 Elisa Panchyshyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisa Panchyshyn accept?

Health plans from HealthPartners list Elisa Panchyshyn 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 Elisa Panchyshyn was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.