ELYSE M FETCKO P.A.
NPI 1962465492
Physician Assistant in Naples, FL

Q: What is Elyse Fetcko's NPI number?

The NPI number for Elyse Fetcko is 1962465492. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Elyse Fetcko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elyse Fetcko was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 07, 2006

6101 PINE RIDGE RD, NAPLES, FL 34119(239) 348-4221(239) 348-4529 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Elyse M Fetcko P.a. NPPES

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

ELYSE M FETCKO P.A. (NPI 1962465492) is an individual physician assistant in Naples, Florida, licensed in Florida (PA9101083) and active in the NPI registry since April 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962465492

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELYSE M FETCKOCredential: P.A.

Location Address6101 PINE RIDGE RDNaples, FL 34119

Mailing AddressPo Box 11392Belfast, ME 04915-4004 · (866) 949-1433

Phone(239) 348-4221

Fax(239) 348-4529

Sole ProprietorNo

Enumeration DateApril 7, 2006

Last NPPES UpdateJune 22, 2018

✔ NPI 1962465492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9101083

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6101 PINE RIDGE RD, Naples, FL 34119

Open in Google Maps ↗

Secondary Practice Locations 2

Location 124231 Walden Center Dr Ste 160Estero, FL 34134-5011 · Phone (239) 348-4221 · Fax (239) 348-4529

Location 215215 Collier Blvd Ste 320Naples, FL 34119-6836 · Phone (239) 348-4221 · Fax (239) 348-4529

Other Identifiers 1

Medicaid290948100FL

Accepted Insurance

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

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.

BROOKE AUSTIN DPM

Podiatrist (Foot & Ankle Surgery)

6101 PINE RIDGE RD, 3RD FLOOR
NAPLES, FL 34119

Collier County (239) 304-5161

CHRISTINA ELANA CIBULA RN, SRNA

Nurse Anesthetist, Certified Registered