Elisabeth Elliott, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1337 S Lovers LN Unit D
Visalia, CA 93292-5249

Phone

(805) 350-2027

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eelliott@artiusderm.emadirect.md

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.

• Artius Dermatology Associates, P.C.

  dba Lux Dermatology

  • Dermatology Physician
  • Hanford, CA
  • NPI 1245782291
  Medicare reassignment Care Compare group
• Chico Dermatology Inc

  • Dermatology Physician
  • Chico, CA
  • NPI 1578121570
  Medicare reassignment NPD
• Sol Dermatology Associates

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1164391959
  Medicare reassignment NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1508627589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S LOVERS LN UNIT D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "805-350-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S LOVERS LN UNIT D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "805-350-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ELISABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth a. Bossingham, M.D., Inc (Visalia Pediatrics & Associates, Inc.)
• Elite Corporate Medical Services Inc.
• Ezekiel Elizalde
• Jasmine Elizondo
• Ellie J. Zuiderveld (The Children's Dental Surgery Center)
• Jennifer K Elliott, DPT
• Betsy Donalyn Ellis
• Desta Ellis, M.D.
• Rosalie Ellis
• Tyler J. Ellis, MD

• Physician Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.