DR. ELISA KAY WIEST CORTEZ DDS
NPI 1588998454
Dentist in Omaha, NE

Q: What is Elisa Wiest Cortez's NPI number?

The NPI number for Elisa Wiest Cortez is 1588998454. It was assigned to this individual provider in the NPPES registry on September 25, 2009. The provider is also known as Elisa K Wiest Dds.

Q: What is Elisa Wiest Cortez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 25, 2009PECOS Enrolled

4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 991-5642 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Nov 10, 2016, Oct 27, 2016 and 1 more (4 updates tracked since 2016).

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About Dr. Elisa Kay Wiest Cortez Dds NPPES

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

DR. ELISA KAY WIEST CORTEZ DDS (NPI 1588998454) is an individual dentist in Omaha, Nebraska, licensed in Nebraska (6685) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588998454

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ELISA KAY WIEST CORTEZCredential: DDS

Location Address4920 SOUTH 30TH STREET, SUITE 103Omaha, NE 68107-1656

Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 991-5642

Phone(402) 734-4110

Fax(402) 991-5642

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 25, 2009

Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1588998454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NE · 6685

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4920 SOUTH 30TH STREET, Omaha, NE 68107

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Other Names 1

Professional Name (2)Elisa K Wiest Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elisa Kay Wiest Cortez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648573402

PECOS Enrollment IDI20260518000636

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 Elisa Wiest Cortez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Care Health Center

6.1 mi

Federally Qualified Health Center (FQHC)

902 S 6TH ST
Council Bluffs, IA 51501

Reassigned Medicare billing, Iowa enrollment
22 clinicians in this Medicare group

NPI 1114906906 (712) 325-1990

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 68107 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 13

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

STELLA G WASHINGTON P.A.-C

Physician Assistant