TABETHA VICTORIA ELIE PMHNP - NPI 1891527545 - Nurse Practitioner in League City, TX

Q: What is Tabetha Elie's NPI number?

The NPI number for Tabetha Elie is 1891527545. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Q: What is Tabetha Elie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tabetha Elie was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tabetha Victoria Elie Pmhnp NPPES

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

TABETHA VICTORIA ELIE PMHNP (NPI 1891527545) is an individual psychiatric/mental health provider in League City, Texas, licensed in Texas (1169630) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2024).

NPPES Registry Identity

NPI1891527545

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTABETHA VICTORIA ELIECredential: PMHNP

Location Address2785 GULF FWY S STE 2.200League City, TX 77573-4979

Mailing Address2785 Gulf Fwy S Ste 2.200League City, TX 77573-4979 · (409) 772-3695

Phone(409) 772-3695

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2024

Enumeration DateAugust 19, 2024

Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1891527545 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 TX · 1169630

2785 GULF FWY S STE 2.200, League City, TX 77573

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabetha Victoria Elie Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628502176

PECOS Enrollment IDI20251218004601

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 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

TIAUNA LENEA DOUGLAS

Nurse Practitioner (Psychiatric/Mental Health)