WONDA FAY ELMORE – Family Nurse Practitioner, NPI 1053546556

WONDA FAY ELMORE is a healthcare provider. based in Logansport, Indiana. specializing in Family Nurse Practitioner. They hold a License No. 71002916B (IN). The NPI Number for WONDA FAY ELMORE is 1053546556

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
WONDA FAY ELMORE
NPI
1053546556
Phone
(574) 722-5151
Address
1015 MICHIGAN AVE
Enumeration Date
27 May 2009
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5747225151
Graduation Year
2009 (17 years ago)
PAC ID
7315084092
Group Practice PAC ID
2163334277
Professional Enrollment ID
I20091029000082
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for WONDA FAY ELMORE

  • Four County Counseling Center, 1015, Michigan Avenue, Logansport, Cass County, Indiana, 46947, United States

    LOGANSPORT, IN 469471526

    Phone: (574) 722-5151

    Fax: (574) 739-1414

    Type: Mailing

  • 255 N MIAMI ST

    WABASH, IN 469922705

    Phone: (574) 385-3145

    Fax: (260) 563-1902

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $1,649.

Total Amount is formed as General ($1,649) + Research ($0) + Ownership ($0) = $1,649.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lundbeck LLC ($195).

Total Amount

$1,649

General + Research + Ownership

Payments

121

Total payment records

General Amount

$1,649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-10-29

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
I20091029000082INurse PractitionerINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7141$0
View full utilization report →

Insurance plans in this area (ZIP 46947)

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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: 2163334277View full group profile
NameSpecialtyState
P S Y C H I A T R YIN
Mental Health CounselorIN
Nurse PractitionerIN
Mental Health CounselorIN
Clinical Social WorkerIN
Clinical Social WorkerIN
P S Y C H I A T R YIN
Mental Health CounselorIN
Clinical Social WorkerIN
-IN

Reviews

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Frequently asked questions

How do I look up WONDA FAY ELMORE by NPI?
Use NPI 1053546556 when you need to reference WONDA FAY ELMORE in forms, claims, or directories.
Does this profile mean WONDA FAY ELMORE is currently active?
Yes — WONDA FAY ELMORE appears active in the national provider directory.
What field does WONDA FAY ELMORE work in?
You can think of WONDA FAY ELMORE as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place WONDA FAY ELMORE?
The snapshot lists Logansport, Indiana for WONDA FAY ELMORE; download NPPES for the complete set.
What if Logansport, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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