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PHOEBE SUSAN ELMENDORF PA-C
NPI 1720710536
Physician Assistant in Norwalk, CT

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
34 MAPLE ST, NORWALK, CT 06850(203) 852-2160 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoebe Susan Elmendorf Pa-c NPPES

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

PHOEBE SUSAN ELMENDORF PA-C (NPI 1720710536) is an individual physician assistant in Norwalk, Connecticut, licensed in Connecticut (5759) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720710536
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHOEBE SUSAN ELMENDORFCredential: PA-C
Location Address34 MAPLE STNorwalk, CT 06850-3815
Mailing Address55 Park AvePoughkeepsie, NY 12603-3101 · (845) 337-6380
Phone(203) 852-2160
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2022
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1720710536 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 CT · 5759
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.
34 MAPLE ST, Norwalk, CT 06850
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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

Phoebe Susan Elmendorf 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 ID7012393846
PECOS Enrollment IDI20221003001428
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06850 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

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 Phoebe Elmendorf's NPI number?

The NPI number for Phoebe Elmendorf is 1720710536. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Phoebe Elmendorf located?

Phoebe Elmendorf practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2160.

What is Phoebe Elmendorf's specialty?

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

Is Phoebe Elmendorf enrolled in Medicare?

Yes. Phoebe Elmendorf 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.

When was this NPI record last updated?

The NPPES record for Phoebe Elmendorf was last updated on May 7, 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.