Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH WYTYCHAK DODS NP
NPI 1861748832
Nurse Practitioner in Emeryville, CA

Active since July 27, 2012PECOS EnrolledAccepts Medicare Assignment
6121 HOLLIS ST STE 400, EMERYVILLE, CA 94608(510) 266-5401 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 11, 2025, Mar 6, 2025 and 1 more (4 updates tracked since 2020).

About Elizabeth Wytychak Dods Np NPPES

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

ELIZABETH WYTYCHAK DODS NP (NPI 1861748832) is an individual nurse practitioner in Emeryville, California, licensed in California (95031987) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861748832
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH WYTYCHAK DODSCredential: NP
Location Address6121 HOLLIS ST STE 400Emeryville, CA 94608-2077
Mailing Address6121 Hollis St Ste 400Emeryville, CA 94608-2077 · (510) 266-5401
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 27, 2012
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1861748832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · 95031987✔ Licensed in WA · AP60411118
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 98811 (CT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 005605 (CT)
6121 HOLLIS ST STE 400, Emeryville, CA 94608

Other Names 1

Former Name (1)Elizabeth Wytychak Aprn//1986

Secondary Practice Locations 3

Location 1200 S 2nd StRenton, WA 98057-2011 · Phone (425) 266-7039
Location 2675 Main StMiddletown, CT 06457 · Phone (860) 347-6971 · Fax (860) 343-7379
Location 3222 Front St Fl 6San Francisco, CA 94111-4422 · Phone (415) 956-2884

Other Identifiers 1

Medicaid004236346CT

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

Elizabeth Wytychak Dods Np 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 ID3971741729
PECOS Enrollment IDI20250805003280
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 Elizabeth Dods reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7999 GATEWAY BLVD STE 200
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
33914 19TH AVE SW
Federal Way, WA 98023
  • Reassigned Medicare billing, Washington enrollment
  • 403 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$58.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$28.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608
Registered Nurse (Diabetes Educator)
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608
Internal Medicine
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608
Internal Medicine
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608
Nurse Practitioner
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608
Nurse Practitioner
6121 HOLLIS ST STE 400
EMERYVILLE, CA 94608

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 Elizabeth Dods's NPI number?

The NPI number for Elizabeth Dods is 1861748832. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Elizabeth Wytychak Aprn//1986.

Where is Elizabeth Dods located?

Elizabeth Dods practices at 6121 Hollis St Ste 400, Emeryville, CA 94608. The listed phone number is (510) 266-5401.

What is Elizabeth Dods's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Dods enrolled in Medicare?

Yes. Elizabeth Dods 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 organizations bill Medicare for Elizabeth Dods's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Dods reassigns Medicare benefits to 2 organizations: University Healthcare Alliance (Newark, CA) and Healthpoint (Federal Way, WA). 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 Elizabeth Dods'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 Elizabeth Dods was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.