ELISE W BALLOU PA-C
NPI 1720485147
Physician Assistant - Medical in Gilbert, AZ

Q: What is Elise Ballou's NPI number?

The NPI number for Elise Ballou is 1720485147. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Q: What is Elise Ballou's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elise Ballou was last updated on April 10, 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 December 01, 2014PECOS Enrolled

275 E RIVULON BLVD STE 201, GILBERT, AZ 85297(602) 734-5664(480) 401-3844 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 10, 2018, Dec 20, 2016 (2 updates tracked since 2016).

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About Elise W Ballou Pa-c NPPES

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

ELISE W BALLOU PA-C (NPI 1720485147) is an individual medical provider in Gilbert, Arizona, licensed in Arizona (5902) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720485147

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELISE W BALLOUCredential: PA-C

Location Address275 E RIVULON BLVD STE 201Gilbert, AZ 85297-0008

Mailing Address275 E Rivulon Blvd Ste 201Gilbert, AZ 85297-0008 · (602) 734-5664 · Fax (480) 401-3844

Phone(602) 734-5664

Fax(480) 401-3844

Sole ProprietorNo

Enumeration DateDecember 1, 2014

Last NPPES UpdateApril 10, 20182 updates tracked since enumeration

✔ NPI 1720485147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 5902

275 E RIVULON BLVD STE 201, Gilbert, AZ 85297

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise W Ballou Pa-c 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 2

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

SPENCER DAVID STOTT PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

275 E RIVULON BLVD STE 201
GILBERT, AZ 85297

Maricopa County (702) 483-5029

HEALTH RIDES LLC

Non-emergency Medical Transport (VAN)

275 E RIVULON BLVD STE 201
GILBERT, AZ 85297

Maricopa County (801) 296-5100

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 Ballou's NPI number?

The NPI number for Elise Ballou is 1720485147. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Elise Ballou located?

Elise Ballou practices at 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297. The listed phone number is (602) 734-5664.

What is Elise Ballou's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elise Ballou enrolled in Medicare?

Yes. Elise Ballou is registered in the Medicare PECOS enrollment system.

What insurance does Elise Ballou accept?

Health plans from UnitedHealthcare list Elise Ballou 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 Ballou was last updated on April 10, 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.