ELISE BAILEY TISERA NP
NPI 1689442816
Nurse Practitioner in Charlotte, NC

Active since December 18, 2023PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 381-9900 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elise Bailey Tisera Np NPPES

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

ELISE BAILEY TISERA NP (NPI 1689442816) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5019270) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689442816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELISE BAILEY TISERACredential: NP
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 18, 2023
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedDecember 18, 2023
NPI 1689442816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5019270
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 5019270 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Location 1

Location 11001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 381-9900

Accepted Insurance

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

Elise Bailey Tisera Np 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 ID8628410875
PECOS Enrollment IDI20240520003945
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 20

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

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Elise Tisera's NPI number?

The NPI number for Elise Tisera is 1689442816. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Elise Tisera located?

Elise Tisera practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 381-9900.

What is Elise Tisera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elise Tisera enrolled in Medicare?

Yes. Elise Tisera 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.

What insurance does Elise Tisera accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Elise Tisera 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.

When was this NPI record last updated?

The NPPES record for Elise Tisera was last updated on July 15, 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.