Individual provider Active NPI

Elya Hess

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1083140263
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28199362A Issued in IN
Practice address
808 N 3Rd St
Goshen, IN 46528-7100
Phone
(574) 534-0088
Fax
(574) 971-8434
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28199362A IN Primary

Addresses

Primary practice location

808 N 3Rd St
Goshen, IN 46528-7100

Mailing address

808 N 3Rd St
Goshen, IN 46528-7100
Phone (574) 534-0088

Other practice location 1

213 Middlebury St
Goshen, IN 46528-2956
Phone (574) 534-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehess299538@direct.ochin.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003249 CO Practitioner - Nurse Practitioner 6608140421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vista Community Health CentersGroup PAC ID 4688583974, 126 clinicians
Aleracare of Colorado, LLCGroup PAC ID 3072926161, 5 clinicians

Practice addresses (Care Compare)

410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Phone (719) 630-6440

6475 Wall St
Suite 100
Colorado Springs, CO 80918-8341
Phone (888) 209-8874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aleracare of Colorado, LLC CurrentSince Jul 29, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 1, 2022 Accepting new patients
Aleracare of Colorado, LLC CurrentSince Nov 1, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 1, 2022 Accepting new patients
Aleracare of Colorado, LLC CurrentSince Jul 29, 2024 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients

Locations

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

1550 S Potomac St
Ste 145
Aurora, CO 80012
Phone (480) 716-5820

430 Gold Pass Hts
Colorado Springs, CO 80906

410 Gold Pass Hts
Colorado Springs, CO 80906
Phone (719) 576-3326

6475 Wall St
Ste 100
Colorado Springs, CO 80918
Phone (719) 488-4664

2910 Beacon St
Ste 200
Colorado Springs, CO 80907
Phone (888) 238-9523

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

750 W Hampden Ave
Ste 285
Englewood, CO 80110
Phone (888) 238-9523

1303 Fortino Blvd
Ste C
Pueblo, CO 81008
Phone (480) 716-5820

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1083140263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287100",
            "telephone_number": "574-534-0088",
            "fax_number": "574-971-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287100",
            "telephone_number": "574-534-0088",
            "fax_number": "574-971-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Middlebury St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465282956",
            "country_code": "US",
            "telephone_number": "574-534-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESS",
        "first_name": "ELYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28199362A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehess299538@direct.ochin.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "808 N 3rd St",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465287100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.