EVA ELIASSEN MD
NPI 1679275333
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Q: What is Eva Eliassen's NPI number?

The NPI number for Eva Eliassen is 1679275333. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Eva Eliassen'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 Eva Eliassen was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 20, 2023PECOS Enrolled

2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-2011 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Eva Eliassen Md NPPES

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

EVA ELIASSEN MD (NPI 1679275333) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1679275333

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameEVA ELIASSENCredential: MD

Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148

Mailing Address655 W 8th StJacksonville, FL 32209-6511 · (904) 244-4225 · Fax (904) 244-2116

Phone(904) 639-2011

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedMarch 22, 2024

✔ NPI 1679275333 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.

2001 KINGSLEY AVE, Orange Park, FL 32073

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Secondary Practice Location 1

Location 1655 W 8th StJacksonville, FL 32209-6511 · Phone (904) 244-4225 · Fax (904) 244-4225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eva Eliassen Md 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.

DR. FORREST KING M.D.

Emergency Medicine