ELYSIUM, LLC
NPI 1871355305
Nurse Practitioner - Psychiatric/Mental Health in Forest Hill, MD

Active since January 30, 2024
210 COLGATE DR, FOREST HILL, MD 21050(443) 243-3020 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elysium, Llc NPPES

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

ELYSIUM, LLC (NPI 1871355305), doing business as Elysium, is a healthcare organization registered as a psychiatric/mental health in Forest Hill, Maryland and active in the NPI registry since January 2024. The organization lists Robert Bowen, Owner, as its authorized official.

NPPES Registry Identity

NPI1871355305
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameELYSIUM, LLC
Location Address210 COLGATE DRForest Hill, MD 21050-1343
Mailing Address210 Colgate DrForest Hill, MD 21050-1343 · (443) 243-3020
Organization SubpartNo
Authorized OfficialRobert BowenOwner · (443) 243-3020
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1871355305 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
210 COLGATE DR, Forest Hill, MD 21050

Other Names 2

Doing Business AsElysium
Doing Business AsElysium Psychiatric Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elysium, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Elysium, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1073064176
1200 E JOPPA RD
Towson, MD 21286
(443) 798-7707
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1700221165
5807 HARFORD RD
Baltimore, MD 21214
(410) 444-2100
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1841545332
11538 PROSPECT HILL RD # A
Glenn Dale, MD 20769
(301) 204-9830
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1821799057
660 FREEPORT RD
Freeport, PA 16229
(814) 758-9390
✔ PECOS191 mi

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

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 Elysium, LLC's NPI number?

The NPI number for Elysium, LLC is 1871355305. It was assigned to this organization in the NPPES registry on January 30, 2024. The provider is doing business as Elysium and Elysium Psychiatric Services.

Where is Elysium, LLC located?

Elysium, LLC is located at 210 Colgate Dr, Forest Hill, MD 21050. The listed phone number is (443) 243-3020.

What is Elysium, LLC's specialty?

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

Is Elysium, LLC enrolled in Medicare?

Yes. Elysium, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elysium, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Elysium, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elysium, LLC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.