ELYSE KIELE KOE PA-C
NPI 1669209763
Physician Assistant in Camarillo, CA

Active since September 14, 2024PECOS EnrolledAccepts Medicare Assignment
1199 LANTANA ST, CAMARILLO, CA 93010(805) 914-9503 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elyse Kiele Koe Pa-c NPPES

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

ELYSE KIELE KOE PA-C (NPI 1669209763) is an individual physician assistant in Camarillo, California, licensed in New York (1223458) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with St Barnabas Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669209763
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELYSE KIELE KOECredential: PA-C
Location Address1199 LANTANA STCamarillo, CA 93010-3024
Mailing Address1199 Lantana StCamarillo, CA 93010-3024
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 14, 2024
NPPES CertifiedSeptember 14, 2024
NPI 1669209763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 1223458
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1199 LANTANA ST, Camarillo, CA 93010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elyse Kiele Koe Pa-c 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 ID9830629716
PECOS Enrollment IDI20250206003152
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.

Hospital Affiliations CMS Care Compare

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

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93010 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

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 Elyse Koe's NPI number?

The NPI number for Elyse Koe is 1669209763. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Elyse Koe located?

Elyse Koe practices at 1199 Lantana St, Camarillo, CA 93010. The listed phone number is (805) 914-9503.

What is Elyse Koe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elyse Koe enrolled in Medicare?

Yes. Elyse Koe 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.

Is Elyse Koe affiliated with any hospitals?

According to CMS data, Elyse Koe is affiliated with St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Elyse Koe was last updated on September 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.