DR. ELISA MARIE CRYSTAL WANG MD
NPI 1942615646
Psychiatry & Neurology - Psychiatry in Ithaca, NY

Q: What is Elisa Wang's NPI number?

The NPI number for Elisa Wang is 1942615646. It was assigned to this individual provider in the NPPES registry on June 23, 2014. The provider is also known as Dr. Elisa Marie Crystal MD.

Q: What is Elisa Wang's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Elisa Wang was last updated on May 13, 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.

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment

201 E GREEN ST, ITHACA, NY 14850(607) 274-6200 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, Apr 17, 2024, Jun 28, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Elisa Marie Crystal Wang Md NPPES

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

DR. ELISA MARIE CRYSTAL WANG MD (NPI 1942615646) is an individual psychiatry provider in Ithaca, New York, licensed in New York (312716) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1942615646

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ELISA MARIE CRYSTAL WANGCredential: MD

Location Address201 E GREEN STIthaca, NY 14850-5635

Mailing Address201 E Green StIthaca, NY 14850-5635 · (607) 274-6200

Phone(607) 274-6200

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 23, 2014

Last NPPES UpdateMay 13, 20244 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1942615646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NY · 312716✔ Licensed in IL · 036146202

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

201 E GREEN ST, Ithaca, NY 14850

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Elisa Marie Crystal Md

Secondary Practice Location 1

Location 13860 W Ogden AveChicago, IL 60623-2460 · Phone (872) 588-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elisa Marie Crystal Wang Md 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 ID3072860030

PECOS Enrollment IDI20240617002233

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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 20

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

ISADORA HEROLD

Social Worker