THERESA A ELDER
NPI 1679051254
Student in an Organized Health Care Education/Training Program in Saginaw, MI

Q: What is Theresa Elder's NPI number?

The NPI number for Theresa Elder is 1679051254. It was assigned to this individual provider in the NPPES registry on August 5, 2018.

Q: What is Theresa Elder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Elder was last updated on August 5, 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.

Active since August 05, 2018PECOS Enrolled

800 S WASHINGTON AVE, SAGINAW, MI 48601(248) 840-7753 Get Directions Write a Review

NPPES record last updated: August 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Theresa A Elder NPPES

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

THERESA A ELDER (NPI 1679051254) is an individual student in an organized health care education/training program in Saginaw, Michigan and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679051254

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTHERESA A ELDER

Location Address800 S WASHINGTON AVESaginaw, MI 48601-2551

Mailing Address2460 Pebble Beach DrOakland, MI 48363-2445 · (248) 840-7753

Phone(248) 840-7753

Sole ProprietorNo

Enumeration DateAugust 5, 2018

✔ NPI 1679051254 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.

800 S WASHINGTON AVE, Saginaw, MI 48601

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Other Identifiers 1

Medicaid1202442312MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa A Elder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. JUSTIN JON SCHUMACHER

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