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NATHANIEL JOSEPH ELSNER DO
NPI 1750901013
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 16, 2020PECOS Enrolled
1120 W MICHIGAN ST # CL642, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nathaniel Joseph Elsner Do NPPES

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

NATHANIEL JOSEPH ELSNER DO (NPI 1750901013) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2020).

NPPES Registry Identity

NPI1750901013
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHANIEL JOSEPH ELSNERCredential: DO
Location Address1120 W MICHIGAN ST # CL642Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan St # Cl642Indianapolis, IN 46202-5209
Phone(317) 278-2686
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2020
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1750901013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 W MICHIGAN ST # CL642, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Joseph Elsner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587086160
PECOS Enrollment IDI20260813003965
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathaniel Elsner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group Inc
346 mi
Cardiovascular Disease
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • Also billed through NPI 1477609592 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1952739450 (704) 384-7603
Forsyth Memorial Hospital, Inc
376 mi
Family Medicine
865 W LAKE DR
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1598723488 (336) 719-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARTHA ANNA CANCILLA MD
Hospitalist
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
DR. DESTINY J HAUSE MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (404) 822-4779
RACHEL G SUSLER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
SARAH RENE YATES DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
JASON EDWARD KIPPENBROCK MD
Internal Medicine
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
JACK TIAHNYBIK DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
ANDREW O'NEIL MD
Anesthesiology
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
MARIE CLARK
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686

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 Nathaniel Elsner's NPI number?

The NPI number for Nathaniel Elsner is 1750901013. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Nathaniel Elsner located?

Nathaniel Elsner practices at 1120 W Michigan St # Cl642, Indianapolis, IN 46202. The listed phone number is (317) 278-2686.

What is Nathaniel Elsner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathaniel Elsner enrolled in Medicare?

Yes. Nathaniel Elsner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathaniel Elsner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Elsner reassigns Medicare benefits to 2 organizations: Novant Medical Group Inc (Jefferson, NC) and Forsyth Memorial Hospital, Inc (Mount Airy, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Elsner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathaniel Elsner was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.