ELISA STEPHENS NP
NPI 1730483082
Nurse Practitioner - Psychiatric/Mental Health in Jackson, WY

Active since December 30, 2010PECOS Enrolled
640 E BROADWAY AVE, JACKSON, WY 83001(307) 733-2046(307) 733-6289 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisa Stephens Np NPPES

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

ELISA STEPHENS NP (NPI 1730483082) is an individual psychiatric/mental health provider in Jackson, Wyoming, licensed in Wyoming (38889.1584) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730483082
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELISA STEPHENSCredential: NP
Location Address640 E BROADWAY AVEJackson, WY 83001-8642
Mailing AddressPo Box 1868Jackson, WY 83001-1868 · (307) 733-2046 · Fax (307) 733-6289
Fax(307) 733-6289
Sole ProprietorNo
Enumeration DateDecember 30, 2010
Last NPPES UpdateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1730483082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WY · 38889.1584
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN165748 (AZ)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License AP3882 (AZ)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 38889.1584 (WY)
640 E BROADWAY AVE, Jackson, WY 83001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elisa Stephens Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

Social Worker (Clinical)
640 E BROADWAY AVE
JACKSON, WY 83001
Social Worker (Clinical)
640 E BROADWAY AVE
JACKSON, WY 83001
Counselor (Mental Health)
640 E BROADWAY AVE
JACKSON, WY 83001
Case Manager/Care Coordinator
640 E BROADWAY AVE
JACKSON, WY 83001
Counselor (Professional)
640 E BROADWAY AVE
JACKSON, WY 83001
Social Worker (Clinical)
640 E BROADWAY AVE
JACKSON, WY 83001
Case Manager/Care Coordinator
640 E BROADWAY AVE
JACKSON, WY 83001
Social Worker (Clinical)
640 E BROADWAY AVE
JACKSON, WY 83001

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 Elisa Stephens's NPI number?

The NPI number for Elisa Stephens is 1730483082. It was assigned to this individual provider in the NPPES registry on December 30, 2010.

Where is Elisa Stephens located?

Elisa Stephens practices at 640 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-2046.

What is Elisa Stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elisa Stephens enrolled in Medicare?

Yes. Elisa Stephens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisa Stephens was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.