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ELYSSA HAGEN MAX RN
NPI 1972187839
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since May 07, 2021PECOS Enrolled
713 HARRISON ST, SYRACUSE, NY 13210(315) 464-3105 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 21, 2021, May 7, 2021 (2 updates tracked since 2021).

About Elyssa Hagen Max Rn NPPES

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

ELYSSA HAGEN MAX RN (NPI 1972187839) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (403516) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1972187839
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELYSSA HAGEN MAXCredential: RN
Location Address713 HARRISON STSyracuse, NY 13210-2305
Mailing Address713 Harrison StSyracuse, NY 13210-2305 · (315) 464-3105
Phone(315) 464-3105
Sole ProprietorNo
Enumeration DateMay 7, 2021
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1972187839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403516
Also ListedRegistered NurseTaxonomy 163W00000X · License 727162 (NY)
713 HARRISON ST, Syracuse, NY 13210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-3105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyssa Hagen Max Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elyssa Max reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry Faculty Practice, Inc.
Same address
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

ANDREW MABON CARROLL MSW
Social Worker
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3145
MARQUES PALMER LMSW
Student in an Organized Health Care Education/Training Program
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3145
SUNY UPSTATE MEDICAL UNIVERSITY
Clinic/Center (Adolescent and Children Mental Health)
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 247-4221
AKSHITA SULERIA
Student in an Organized Health Care Education/Training Program
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5625
DR. BRANDEN ALEXANDER GRAHAM PSYD
Psychologist
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3165
DR. RACHEL RENEE MITCHELL PH.D.
Psychologist (Clinical Child & Adolescent)
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3145
MISS GABRIELLE DENISE NICOLINI LMSW
Counselor (Mental Health)
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3145
MS. RANCHAL SABHARWAL PHD
Student in an Organized Health Care Education/Training Program
713 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3105

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 Elyssa Max's NPI number?

The NPI number for Elyssa Max is 1972187839. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Elyssa Max located?

Elyssa Max practices at 713 Harrison St, Syracuse, NY 13210. The listed phone number is (315) 464-3105.

What is Elyssa Max's specialty?

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

Is Elyssa Max enrolled in Medicare?

Yes. Elyssa Max is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elyssa Max's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyssa Max reassigns Medicare benefits to Psychiatry Faculty Practice, Inc. (Syracuse, NY). The 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 Elyssa Max's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elyssa Max was last updated on June 21, 2021. 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.