ELAINE AMBROSIO (NP) – Nurse Practitioner, NPI 1124784533

ELAINE AMBROSIO (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 5014545 (NC). The NPI Number for ELAINE AMBROSIO (NP) is 1124784533

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ELAINE AMBROSIO (NP)
NPI
1124784533
Phone
(704) 834-2450
Address
PO BOX 744786
Enumeration Date
10 November 2021
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2013 (13 years ago)
PAC ID
5092194639
Group Practice PAC ID
1850774332
Professional Enrollment ID
I20220628001278
Address ID
NC277137812DU5306X55XX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

10,314 NURSE PRACTITIONER in NC

Provider Addresses for ELAINE AMBROSIO (NP)

  • PO BOX 744786

    ATLANTA, GA 303744786

    Phone: (704) 834-2450

    Fax: (704) 671-5331

    Type: Mailing

  • 660 SUMMIT CROSSING PL

    GASTONIA, NC 280542104

    Phone: (980) 355-3774

    Type: Location

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: 2022-06-28

PECOS data refreshed: 2026-06-15

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
I20220628001278INurse PractitionerNCTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes290112$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes17583$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6057$0
99316Nursing facility discharge management, more than 30 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 1850774332View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantNC
Nurse PractitionerNC
Nurse PractitionerNC
Internal Medicine, Geriatric MedicineNC
Nurse PractitionerNC
Nurse PractitionerNC
Nurse PractitionerNC
Physician AssistantNC
Internal MedicineNC

Reviews

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Frequently asked questions

How do payers reference ELAINE AMBROSIO (NP)?
For ELAINE AMBROSIO (NP), use NPI 1124784533 as the unique 10-digit identifier.
Is there an active status for ELAINE AMBROSIO (NP)?
For scheduling context, ELAINE AMBROSIO (NP) is shown as active in the registry.
What clinical focus is listed for ELAINE AMBROSIO (NP)?
At a glance, ELAINE AMBROSIO (NP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is ELAINE AMBROSIO (NP) registered?
Use Atlanta, Georgia as the headline location for ELAINE AMBROSIO (NP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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