ELIZABETH STEWART ELAM (PA-C) – Physician Assistant, NPI 1063925733

ELIZABETH STEWART ELAM (PA-C) is a healthcare provider. based in Boca raton, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9110552 (FL). The NPI Number for ELIZABETH STEWART ELAM (PA-C) is 1063925733

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH STEWART ELAM (PA-C)
NPI
1063925733
Phone
(561) 391-8343
Address
22 SE 6TH ST
Enumeration Date
15 November 2017
Last Update Date
15 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618837770
Graduation Year
2017 (9 years ago)
PAC ID
4688905235
Group Practice PAC ID
6406820414
Professional Enrollment ID
I20191011001264
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for ELIZABETH STEWART ELAM (PA-C)

  • 22, Southeast 6th Street, Boca Raton, Palm Beach County, Florida, 33432, United States

    BOCA RATON, FL 334326016

    Phone: (561) 391-8343

    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 153 Open Payments records for all available years, with a total value of $3,669.

Total Amount is formed as General ($3,669) + Research ($0) + Ownership ($0) = $3,669.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($589).

Total Amount

$3,669

General + Research + Ownership

Payments

153

Total payment records

General Amount

$3,669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2019-10-11

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
I20191011001264IPhysician AssistantFLTBD

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 33432)

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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: 6406820414View full group profile
NameSpecialtyState
Nurse PractitionerFL
General PracticeNJ
Physician AssistantFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL

Reviews

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Frequently asked questions

How is ELIZABETH STEWART ELAM (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH STEWART ELAM (PA-C) with NPI 1063925733.
Is ELIZABETH STEWART ELAM (PA-C) still practicing?
ELIZABETH STEWART ELAM (PA-C) is currently listed as active in the public NPI registry.
What is ELIZABETH STEWART ELAM (PA-C)'s primary classification?
Physician Assistant is the headline specialty for ELIZABETH STEWART ELAM (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for ELIZABETH STEWART ELAM (PA-C)?
ELIZABETH STEWART ELAM (PA-C)'s geographic hint is Boca Raton, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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