MISS DEZERAE PAIGE ELSEN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1356037717

MISS DEZERAE PAIGE ELSEN (PMHNP-BC) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. APN.0998616-NP (CO). The NPI Number for MISS DEZERAE PAIGE ELSEN (PMHNP-BC) is 1356037717

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MISS DEZERAE PAIGE ELSEN (PMHNP-BC)
NPI
1356037717
Phone
(720) 244-0689
Address
1580 N LOGAN ST STE 660
Enumeration Date
17 April 2023
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7194939555
Graduation Year
2023 (3 years ago)
PAC ID
1759726425
Group Practice PAC ID
2567714843
Professional Enrollment ID
I20240304003301
Address ID
CO809075085CO3720XRDXX301
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MISS DEZERAE PAIGE ELSEN (PMHNP-BC)

  • 1580 N LOGAN ST STE 660

    DENVER, CO 802031994

    Phone: (720) 244-0689

    Fax: (720) 208-4537

    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 67 Open Payments records for all available years, with a total value of $1,908.

Total Amount is formed as General ($1,908) + Research ($0) + Ownership ($0) = $1,908.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($608).

Total Amount

$1,908

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-03-04

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
I20240304003301INurse PractitionerCOTBD

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 80203)

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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: 2567714843View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerNM
Nurse PractitionerCO
Nurse PractitionerNH

Reviews

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Frequently asked questions

How do payers reference MISS DEZERAE PAIGE ELSEN (PMHNP-BC)?
For MISS DEZERAE PAIGE ELSEN (PMHNP-BC), use NPI 1356037717 as the unique 10-digit identifier.
Active or inactive — what applies to MISS DEZERAE PAIGE ELSEN (PMHNP-BC)?
You should see MISS DEZERAE PAIGE ELSEN (PMHNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe MISS DEZERAE PAIGE ELSEN (PMHNP-BC)'s focus?
For MISS DEZERAE PAIGE ELSEN (PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MISS DEZERAE PAIGE ELSEN (PMHNP-BC) located near Denver?
MISS DEZERAE PAIGE ELSEN (PMHNP-BC) currently maps to Denver, Colorado in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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