DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) – Family Medicine Physician, NPI 1548466014

DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) is a healthcare provider. based in Eglin afb, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 13617 (NV). The NPI Number for DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) is 1548466014

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.)
NPI
1548466014
Phone
(508) 883-8312
Address
307 BOATNER RD STE 114
Enumeration Date
22 June 2007
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9078653247
Graduation Year
2007 (19 years ago)
PAC ID
3971799941
Group Practice PAC ID
5395150460
Professional Enrollment ID
I20210719002878
Address ID
AK995032701AN307XXBLVD501

Contacts

Secure Messaging
epietralczyk1794468@ak.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.)

  • 307 BOATNER RD STE 114

    EGLIN AFB, FL 325421302

    Phone: (508) 883-8312

    Type: Mailing

  • 1201 E 36TH AVE

    ANCHORAGE, AK 995084372

    Phone: (907) 562-9229

    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: 2021-07-19

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
I20210719002878IFamily PracticeAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes143133$0
99214Established patient office or other outpatient visit, 30-39 minutes123118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8836$0
G0009Administration of pneumococcal vaccine1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32542)

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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: 5395150460View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerAK
Certified Nurse Midwife (Cnm)AK
Family PracticeWA
Clinical Social WorkerAK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.)'s NPI?
Yes. DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) is listed with NPI 1548466014 in the public NPI dataset.
Can I rely on DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) being an active provider?
As of the registry snapshot, DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) is marked active.
What healthcare role does DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) hold?
Scheduling teams often label DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) list a practice location?
Patients near Eglin Afb, Florida may find DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) in results; validate coverage separately.
Is the information about DR. ELIZABETH SUZANNE PIETRALCZYK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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