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ELISE MARIE STAVISH DNP, CRNP, FNP-C
NPI 1740956044
Nurse Practitioner - Family in Scranton, PA

Active since August 18, 2021PECOS Enrolled
959 WYOMING AVE, SCRANTON, PA 18509(570) 344-9684(570) 504-0612 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 5, 2025, Aug 18, 2021 (2 updates tracked since 2021).

About Elise Marie Stavish Dnp, Crnp, Fnp-c NPPES

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

ELISE MARIE STAVISH DNP, CRNP, FNP-C (NPI 1740956044) is an individual family provider in Scranton, Pennsylvania, licensed in Pennsylvania (SP024223) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740956044
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISE MARIE STAVISHCredential: DNP, CRNP, FNP-C
Location Address959 WYOMING AVEScranton, PA 18509-3023
Mailing Address959 Wyoming AveScranton, PA 18509-3023 · (570) 954-6968
Phone(570) 344-9684
Fax(570) 504-0612
Sole ProprietorYes
Enumeration DateAugust 18, 2021
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1740956044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP024223
959 WYOMING AVE, Scranton, PA 18509
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Marie Stavish Dnp, Crnp, Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18509 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

WILLIAM HERBERT HITT D.D.S.
Dentist (General Practice)
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 504-0882
DR. TITILAYO O OSUNTOKUN MD
Internal Medicine
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 344-3517
MRS. JENNIFER FOUSE MANNER
Social Worker (Clinical)
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 344-9684
HEIDI ALYSSA MOSHER MSN, WHNP
Nurse Practitioner (Women's Health)
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 344-9684
CHRISTINE BURKE M.D.
Pediatrics (Adolescent Medicine)
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 344-9684
DR. GERALD J KAZMERSKI D.D.S.
Dentist (Dental Public Health)
959 WYOMING AVE, SECOND FLOOR, DENTAL OFFICES
SCRANTON, PA 18509
Lackawanna County (570) 504-0882
DR. RENEE E SCHAEFER D.M.D., M.S.
Dentist
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 504-0882
DONNA J PASSINO EFDA
Dental Assistant
959 WYOMING AVE
SCRANTON, PA 18509
Lackawanna County (570) 504-0882

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 Stavish's NPI number?

The NPI number for Elise Stavish is 1740956044. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Elise Stavish located?

Elise Stavish practices at 959 Wyoming Ave, Scranton, PA 18509. The listed phone number is (570) 344-9684.

What is Elise Stavish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elise Stavish enrolled in Medicare?

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

What insurance does Elise Stavish accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Elise Stavish 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 Stavish was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.