Elysa Maunder

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

24541 Issued in SC

Practice address

222 Amberjack CT
Taylors, SC 29687-4853

Phone

(864) 979-5161

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By the provider in NPPES

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 SC

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  Gerontology, SC

  Medicare reassignment Care Compare group NPD
• Che Behavioral Health Services of South Carolina, P.C.

  • Clinical Psychologist
  • Greenville, SC
  • NPI 1568048833
  Medicare reassignment NPD
• Onsite Healthcare and Wellness LLC

  • Family Medicine Physician
  • Easley, SC
  • NPI 1437648904
  Medicare reassignment NPD
• Onsite Medical Solutions SC Coastal LLC

  • Family Medicine Physician
  • Easley, SC
  • NPI 1326864141
  Medicare reassignment NPD
• Onsite Medical Solutions SC Upstate LLC

  • Family Medicine Physician
  • Easley, SC
  • NPI 1457177289
  Medicare reassignment NPD
• Onsite Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Easley, SC
  • NPI 1639744378
  Medicare reassignment NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1730770314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 AMBERJACK CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874853",
            "telephone_number": "864-979-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AMBERJACK CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874853",
            "telephone_number": "864-979-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNDER",
        "first_name": "ELYSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "24541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quincy Mansell
• Timothy M Marinelli, PT
• Dan Markovich
• Matrix Rehabilitation South Carolina, Inc. (Select Physical Therapy)
• Matthew Healey Family Dentistry
• Latoya McCombs- Martin, APRN
• Madison Mace McCraw, FNP-C
• Rebekka McDonald
• William McDonald, LPC-A
• Med Four LLC

• Gerontology Nurse Practitioner in Taylors, SC
• Providers in Taylors, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.