ELYSSA KLEINWAKS HEISEY
NPI 1790487254
Family Medicine in Broomall, PA
About Elyssa Kleinwaks Heisey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELYSSA KLEINWAKS HEISEY (NPI 1790487254) is an individual family medicine provider in Broomall, Pennsylvania, licensed in Pennsylvania (OS025549) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elyssa Kleinwaks Heisey 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.
Medicare Billing Reassignment
Medicare enrollment records show Elyssa Heisey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Main Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elyssa Heisey's NPI number?
The NPI number for Elyssa Heisey is 1790487254. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Elyssa Heisey located?
Elyssa Heisey practices at 1991 Sproul Rd Ste 140, Broomall, PA 19008. The listed phone number is (610) 325-0309.
What is Elyssa Heisey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elyssa Heisey enrolled in Medicare?
Yes. Elyssa Heisey 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.
Which organization bills Medicare for Elyssa Heisey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elyssa Heisey reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Elyssa Heisey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elyssa Heisey accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Elyssa Heisey 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 Elyssa Heisey affiliated with any hospitals?
According to CMS data, Elyssa Heisey is affiliated with Main Line Hospital Lankenau.
When was this NPI record last updated?
The NPPES record for Elyssa Heisey was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Elyssa Kleinwaks Heisey · NPI 1790487254
Family Medicine physician in Broomall, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1790487254 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS025549 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1991 SPROUL RD STE 140, Broomall, PA 19008-3518
- **Phone:** (610) 325-0309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790487254) · Data from the CMS NPPES public registry.