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ELIZABETH HAN
NPI 1558894659
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST, NEW YORK, NY 10032(703) 861-7009 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Nov 29, 2017 (2 updates tracked since 2017).

About Elizabeth Han NPPES

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

ELIZABETH HAN (NPI 1558894659) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1558894659
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH HAN
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address610 W 158th StNew York, NY 10032-7104 · (212) 544-1860
Phone(703) 861-7009
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1558894659 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.
622 W 168TH ST, New York, NY 10032
Open in Google Maps ↗

Secondary Practice Location 1

Location 1622 W 168th StNew York, NY 10032-3720 · Phone (703) 861-7009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Elizabeth Han 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 ID6800133281
PECOS Enrollment IDI20201006002758
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 Elizabeth Han reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queens North Hawaii Community Hospital
4,910 mi
Home Health
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 277 clinicians in this Medicare group
NPI 1124009584 (808) 881-4400
Hawaii Permanente Medical Group Inc
4,969 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

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.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262
SAAGAR MADHAV PANDE
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100

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 Elizabeth Han's NPI number?

The NPI number for Elizabeth Han is 1558894659. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Elizabeth Han located?

Elizabeth Han practices at 622 W 168th St, New York, NY 10032. The listed phone number is (703) 861-7009.

What is Elizabeth Han's specialty?

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

Is Elizabeth Han enrolled in Medicare?

Yes. Elizabeth Han 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 Elizabeth Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Han reassigns Medicare benefits to 2 organizations: Queens North Hawaii Community Hospital (Kamuela, HI) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Elizabeth Han's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Han accept?

Health plans from Kaiser Permanente list Elizabeth Han 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 Elizabeth Han affiliated with any hospitals?

According to CMS data, Elizabeth Han is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Han was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.