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ELYSE SIPKA PMHNP-BC
NPI 1760154934
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
93.89/100
CMS Quality Rating
109 W 27TH ST RM 5S, NEW YORK, NY 10001(917) 634-5311 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Feb 5, 2026, Jan 11, 2026 and 1 more (4 updates tracked since 2021).

About Elyse Sipka Pmhnp-bc NPPES

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

ELYSE SIPKA PMHNP-BC (NPI 1760154934) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (407943) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1760154934
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELYSE SIPKACredential: PMHNP-BC
Location Address109 W 27TH ST RM 5SNew York, NY 10001-6208
Mailing AddressPo Box 30134Indianapolis, IN 46230-0134
Phone(917) 634-5311
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2021
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1760154934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 407943
109 W 27TH ST RM 5S, New York, NY 10001
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16500 University Ave, Ste 200, (Private Office 139)Windsor Heights, IA 50324 · Phone (917) 634-5311
Location 24435 E Chandler BlvdPhoenix, AZ 85048-7649 · Phone (833) 351-8255
Location 312020 Shamrock Plz Ste 200Omaha, NE 68154-3537 · Phone (833) 351-8255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Elyse Sipka Pmhnp-bc 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 ID8426446550
PECOS Enrollment IDI20211022000985
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.13
Promoting Interoperability100
Improvement Activities40
Cost67.85

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.

DR. KENNETH ZON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
MR. JOSEPH IRWIN FRIEDMAN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. SOPHIA ANNA MONSOUR DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
STEPHANIE NEGREY
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
AUSTIN BAILEY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. LAURENCE ERIC DOPKIN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (888) 815-3583
JORDAN MICHAEL SUCHY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
MS. MARY ALICE POUPON NPP
Nurse Practitioner (Psychiatric/Mental Health)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255

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 Elyse Sipka's NPI number?

The NPI number for Elyse Sipka is 1760154934. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Elyse Sipka located?

Elyse Sipka practices at 109 W 27th St Rm 5S, New York, NY 10001. The listed phone number is (917) 634-5311.

What is Elyse Sipka's specialty?

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

Is Elyse Sipka enrolled in Medicare?

Yes. Elyse Sipka 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.

What insurance does Elyse Sipka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Elyse Sipka 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.

Is Elyse Sipka affiliated with any hospitals?

According to CMS data, Elyse Sipka is affiliated with Community Hospital East.

When was this NPI record last updated?

The NPPES record for Elyse Sipka was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.