MS. ELKE LEE WURZBACH (ELKE WURZBACH) – Family Nurse Practitioner, NPI 1942365572

MS. ELKE LEE WURZBACH (ELKE WURZBACH) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials ELKE WURZBACH. They hold a License No. NP12489 (CA). The NPI Number for MS. ELKE LEE WURZBACH (ELKE WURZBACH) is 1942365572

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELKE LEE WURZBACH (ELKE WURZBACH)
NPI
1942365572
Phone
(562) 867-7999
Address
1670 E 120TH ST BLDG 14
Enumeration Date
26 December 2006
Last Update Date
10 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773462211
Graduation Year
2006 (20 years ago)
PAC ID
8426041104
Group Practice PAC ID
3072984400
Professional Enrollment ID
I20040407000953
Address ID
CA906051600WH9080XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MS. ELKE LEE WURZBACH (ELKE WURZBACH)

  • East 120th Street, Willowbrook, Los Angeles County, California, 90059, United States

    LOS ANGELES, CA 900593026

    Phone: (562) 867-7999

    Type: Location

  • 12826 Philadelphia St

    Whittier, CA 906019060

    Phone: (562) 789-9908

    Fax: (562) 789-9418

    Type: Location

  • 5650, Jillson Street, Bandini, Commerce, Los Angeles County, California, 90040, United States

    COMMERCE, CA 900401482

    Phone: (323) 201-4516

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-04-07

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
I20040407000953INurse PractitionerCATBD

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 90059)

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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: 3072984400View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Nurse PractitionerCA
Emergency MedicineCA
General Practice, Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineNY
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I verify MS. ELKE LEE WURZBACH (ELKE WURZBACH) with an NPI only?
You can start verification with NPI 1942365572 for MS. ELKE LEE WURZBACH (ELKE WURZBACH), then check state licensing separately.
Does the file indicate MS. ELKE LEE WURZBACH (ELKE WURZBACH) is practicing under active NPI?
Directory data currently reports MS. ELKE LEE WURZBACH (ELKE WURZBACH) as active.
What taxonomy line describes MS. ELKE LEE WURZBACH (ELKE WURZBACH)?
For research purposes, treat MS. ELKE LEE WURZBACH (ELKE WURZBACH) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. ELKE LEE WURZBACH (ELKE WURZBACH) serve?
MS. ELKE LEE WURZBACH (ELKE WURZBACH)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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