NPIMap

Individual provider Active NPI

Elena M Hierseman, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1780934091
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA170371 Issued in OR
Practice address
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone
(716) 995-4450
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03780 NC
Physician Assistant 363A00000X PA170371 OR Primary

Addresses

Primary practice location

701 Seneca St Ste 646C
Buffalo, NY 14210-1351

Mailing address

201 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 735-7580

Other practice location 1

2101 Rosecrans Ave
El Segundo, CA 90245-4749
Phone (323) 628-8671

Other practice location 2

201 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 735-7580

Other practice location 3

9020 SW Washington Square Rd Ste 100
Tigard, OR 97223-4435
Phone (503) 420-5852

Other practice location 4

1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (617) 420-5316

Other practice location 5

505 S 336th St Ste 500
Federal Way, WA 98003-8300
Phone (206) 962-3535

Other practice location 6

2645 Meridian Pkwy Ste 323
Durham, NC 27713-9957
Phone (984) 227-8902

Other practice location 7

3401 Centre Lake Dr Ste 470
Ontario, CA 91761
Phone (909) 566-0445

Other identifiers 2

IdentifierTypeStateIssuer
8102812MedicaidNC
1780934091OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150203000995 OR Practitioner - Physician Assistant 0648422006
I20170512002235 TX Practitioner - Physician Assistant 0648422006 Reassigns benefits to 2 organizations
I20220223001431 FL Practitioner - Physician Assistant 0648422006

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55374CAMDDentist
021791NYMDSpeech-Language Pathologist
0010-03780NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District CurrentSince Apr 23, 2019 Accepting new patients
Dallas County Hospital District CurrentSince Apr 23, 2019 Accepting new patients
Metroplex Visiting Physicians, PLLC PastSince Nov 7, 2015 Accepting new patients
Landmark Health of Oregon LLC Past Accepting new patients

Locations

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: ehierseman@landmarkhealth-direct.org

Organizations & group practices 6

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780934091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-735-7580",
            "fax_number": "919-580-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Rosecrans Ave",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454749",
            "country_code": "US",
            "telephone_number": "323-628-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Cox Blvd",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349479",
            "country_code": "US",
            "telephone_number": "919-735-7580",
            "fax_number": "919-580-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 SW Washington Square Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972234435",
            "country_code": "US",
            "telephone_number": "503-420-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Computer Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811790",
            "country_code": "US",
            "telephone_number": "617-420-5316",
            "fax_number": "844-803-8107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 336th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038300",
            "country_code": "US",
            "telephone_number": "206-962-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 Meridian Pkwy Ste 323",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139957",
            "country_code": "US",
            "telephone_number": "984-227-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Centre Lake Dr Ste 470",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "91761",
            "country_code": "US",
            "telephone_number": "909-566-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIERSEMAN",
        "first_name": "ELENA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03780",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA170371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102812",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1780934091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.