ELISA BERGQUIST NP
NPI 1922476878
Nurse Practitioner - Family in La Porte, IN

Q: What is Elisa Bergquist's NPI number?

The NPI number for Elisa Bergquist is 1922476878. It was assigned to this individual provider in the NPPES registry on September 9, 2015. The provider is also known as Elisa Lawson.

Q: What is Elisa Bergquist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Elisa Bergquist enrolled in Medicare?

No. Elisa Bergquist has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Elisa Bergquist was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 09, 2015Opted out of Medicare · through Apr 1, 2027

500 LEGACY PLZ W, LA PORTE, IN 46350(219) 326-0943(219) 326-5684 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Sep 9, 2020, Aug 12, 2020 (3 updates tracked since 2020).

On this page

About Elisa Bergquist Np NPPES

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

ELISA BERGQUIST NP (NPI 1922476878) is an individual family provider in La Porte, Indiana, licensed in Indiana (71005757A) and active in the NPI registry since September 2015. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922476878

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELISA BERGQUISTCredential: NP

Location Address500 LEGACY PLZ WLa Porte, IN 46350-5254

Mailing Address401 Newporte BlvdLa Porte, IN 46350-2479 · (219) 575-6244 · Fax (219) 380-0757

Phone(219) 326-0943

Fax(219) 326-5684

Sole ProprietorNo

Enumeration DateSeptember 9, 2015

Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1922476878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71005757A

500 LEGACY PLZ W, La Porte, IN 46350

Open in Google Maps ↗

Other Names 1

Former Name (1)Elisa Lawson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elisa Bergquist Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier19 claims589 services$5.66 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier16 claims9,246 services$0.32 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 3

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

ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC

Anesthesiology (Pain Medicine)

500 LEGACY PLZ W
LA PORTE, IN 46350

Laporte County (219) 575-7578

SK MED LLC

Anesthesiology (Pain Medicine)

500 LEGACY PLZ W
LA PORTE, IN 46350

Laporte County (219) 575-7578

DR. SHAAN KHAN M.D.

Anesthesiology (Pain Medicine)

500 LEGACY PLZ W
LA PORTE, IN 46350

Laporte County (219) 326-1234

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 Elisa Bergquist's NPI number?

The NPI number for Elisa Bergquist is 1922476878. It was assigned to this individual provider in the NPPES registry on September 9, 2015. The provider is also known as Elisa Lawson.

Where is Elisa Bergquist located?

Elisa Bergquist practices at 500 Legacy Plz W, La Porte, IN 46350. The listed phone number is (219) 326-0943.

What is Elisa Bergquist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elisa Bergquist enrolled in Medicare?

No. Elisa Bergquist has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Elisa Bergquist accept?

Health plans from CareSource list Elisa Bergquist 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.

When was this NPI record last updated?

The NPPES record for Elisa Bergquist was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.