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ELYSSA KLEINWAKS HEISEY
NPI 1790487254
Family Medicine in Broomall, PA

Active since March 20, 2023PECOS Enrolled
1991 SPROUL RD STE 140, BROOMALL, PA 19008(610) 325-0309 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, May 19, 2026, Mar 20, 2023 (3 updates tracked since 2023).

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790487254
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELYSSA KLEINWAKS HEISEY
Location Address1991 SPROUL RD STE 140Broomall, PA 19008-3518
Mailing Address1991 Sproul Rd Ste 140Broomall, PA 19008-3518 · (610) 325-0309
Phone(610) 325-0309
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1790487254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS025549
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1991 SPROUL RD STE 140, Broomall, PA 19008
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyssa Kleinwaks Heisey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082071501
PECOS Enrollment IDI20260612002638
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 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRIPTI KUMAR
Internal Medicine
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309
DR. HANS JENSEN DO
Family Medicine
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309
DR. JOSHUA B FEINBERG DO
Family Medicine
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309
DR. DONNA L DELFIN DO
Family Medicine
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309
MAIRIN HALEY
Internal Medicine
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 625-0309
TWINKLE S BHALODIA CRNP
Nurse Practitioner (Family)
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309
AMY STRONG
Nurse Practitioner (Family)
1991 SPROUL RD STE 140
BROOMALL, PA 19008
Delaware County (610) 325-0309

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 enrollment system.

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 2 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.