Elise Marie Jackson Rackoff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200900259 Issued in NC

Practice address

16 Medical Park Dr
Advanced Dermatology & Skin Surgery, PA
Asheville, NC 28803-2493

Phone

(828) 274-4880

Fax

(828) 274-6868

NPI assigned

Jun 12, 2006

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Dermatology and Skin Surgery, PA

  • Dermatology Physician
  • Asheville, NC
  • NPI 1215990700
  Medicare reassignment NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1487696605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "address_2": "ADVANCED DERMATOLOGY & SKIN SURGERY, PA",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "address_2": "ADVANCED DERMATOLOGY & SKIN SURGERY, PA",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKOFF",
        "first_name": "ELISE MARIE",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200900259",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME95232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneen Ali Qunbar, DO
• R.a.N. Counseling
• R.E.a.C.H of Asheville
• Rachel Elizabeth Raab, MD
• Michael Racine, LCAS, CSI
• Joanna Rader, PA-C
• Radiant Heart Counseling
• Radiant Transform Chiropractic & Wellness PLLC
• Radiation Therapy Associates of Western North Carolina PA
• Radiation Therapy Associates of Western North Carolina PA

• Dermatology Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.