Elizabeth Hersey

Primary specialty

DentistTaxonomy code 122300000X

License

043286 Issued in NY

Practice address

1578 Clark Street Rd
Suite 1
Auburn, NY 13021-9543

Phone

(315) 252-8500

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4
• Direct secure messaging: elizabeth.hersey.1@7377.direct.athenahealth.com
• Direct secure messaging: elizabeth.hersey.p1@direct.toiyabe.nextgenshare.com

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.

• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1003034406
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546
  NPD
• Katahdin Valley Health Center

  • Community/Retail Pharmacy
  • Brownville, ME
  • NPI 1699479311
  NPD

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1376904516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 CLARK STREET RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219543",
            "telephone_number": "315-252-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 CLARK STREET RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219543",
            "telephone_number": "315-252-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Bangor St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047301740",
            "country_code": "US",
            "telephone_number": "207-538-3700 x1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSEY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "TLD5246",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hematology Oncology Associates of Cny, PC
• Rosamund Gabrielle Hembach, OTR/L
• Cassie Hemming
• Ronayne T Herbert, RNP
• Matthew Lowell Herbst, RPH
• Terry Herzog, RRA, RPA
• Matthew Hess, MSW
• Victoria Elizabeth Hess
• Julie A Higgins, MSW
• Stephanie Anne Hill, PA-C

• Dentist in Auburn, NY
• Providers in Auburn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.