DR. ERIN ELSA FUND MD
NPI 1972397677
Student in an Organized Health Care Education/Training Program in South Bend, IN

Active since April 07, 2025PECOS Enrolled
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7477(574) 647-6819 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Erin Elsa Fund Md NPPES

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

DR. ERIN ELSA FUND MD (NPI 1972397677) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972397677
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ERIN ELSA FUNDCredential: MD
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address714 N Michigan StSouth Bend, IN 46601-1035 · (574) 647-7477 · Fax (574) 647-6819
Fax(574) 647-6819
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
NPI 1972397677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

714 N MICHIGAN ST, South Bend, IN 46601

Other Names 1

Former Name (1)Erin Elsa Olson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Erin Elsa Fund Md 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.

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.

Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacy (Community/Retail Pharmacy)
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacist
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacist
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacist
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972397677, enumerated as an "individual" on April 07, 2025.

The provider is located at 714 N MICHIGAN ST SOUTH BEND, IN 46601 and the phone number is (574) 647-7477.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.