KRISTIN MARIE ELO (P.A.) – Physician Assistant, NPI 1164664306

KRISTIN MARIE ELO (P.A.) is a healthcare provider. based in La mesa, California. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. PA19305 (CA). The NPI Number for KRISTIN MARIE ELO (P.A.) is 1164664306

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MARIE ELO (P.A.)
NPI
1164664306
Phone
(619) 644-3030
Address
5555 GROSSMONT CENTER DR
Enumeration Date
2 April 2009
Last Update Date
14 October 2014

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
6196443030
Graduation Year
2007 (19 years ago)
PAC ID
7911199179
Group Practice PAC ID
8022095868
Professional Enrollment ID
I20101006000272
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KRISTIN MARIE ELO (P.A.)

  • Sharp Grossmont Hospital, 5555, Grossmont Center Drive, La Mesa, San Diego County, California, 91942, United States

    LA MESA, CA 919423019

    Phone: (619) 644-3030

    Fax: (619) 644-3638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $3,623.

Total Amount is formed as General ($3,623) + Research ($0) + Ownership ($0) = $3,623.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($772).

Total Amount

$3,623

General + Research + Ownership

Payments

139

Total payment records

General Amount

$3,623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101006000272IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022095868View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YCA
Medical Oncology, Hematology, Internal Medicine, Hematology/OncologyCA
H E M A T O L O G Y/ O N C O L O G YCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

How do payers reference KRISTIN MARIE ELO (P.A.)?
For KRISTIN MARIE ELO (P.A.), use NPI 1164664306 as the unique 10-digit identifier.
Active or inactive — what applies to KRISTIN MARIE ELO (P.A.)?
You should see KRISTIN MARIE ELO (P.A.) as active in CMS-hosted NPPES data.
How would a patient describe KRISTIN MARIE ELO (P.A.)'s focus?
For KRISTIN MARIE ELO (P.A.), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KRISTIN MARIE ELO (P.A.) associated with La Mesa?
Public fields place KRISTIN MARIE ELO (P.A.) around La Mesa, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KRISTIN MARIE ELO (P.A.) is noted as April 2, 2009 where the registry provides it.

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