ELISE MARO (PA-C) – Physician Assistant, NPI 1598583718

ELISE MARO (PA-C) is a healthcare provider. based in Mashpee, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ELISE MARO (PA-C) is 1598583718

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELISE MARO (PA-C)
NPI
1598583718
Phone
Not provided
Address
55 TROON WAY
Enumeration Date
27 September 2024
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033848681
Graduation Year
2024 (2 years ago)
PAC ID
4284162264
Group Practice PAC ID
8022905322
Professional Enrollment ID
I20250106000970
Address ID
CT068253506FA1931XTPKE400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for ELISE MARO (PA-C)

  • 55 TROON WAY

    MASHPEE, MA 026494146

    Phone:

    Type: Mailing

  • 370 BASSETT RD

    NORTH HAVEN, CT 064734201

    Phone: (203) 582-7766

    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: 2025-01-06

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
I20250106000970IPhysician AssistantCTTBD

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 02649)

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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: 8022905322View full group profile
NameSpecialtyState
Nurse PractitionerCT
Internal MedicineNY
N E U R O L O G YCT
Physician AssistantCT
Physician AssistantCT
Internal MedicineCT
P O D I A T R YCT
P O D I A T R YCT
Physical Medicine And Rehabilitation, NeurologyCT
Internal MedicineCT

Reviews

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Frequently asked questions

How is ELISE MARO (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ELISE MARO (PA-C) with NPI 1598583718.
Can I rely on ELISE MARO (PA-C) being an active provider?
As of the registry snapshot, ELISE MARO (PA-C) is marked active.
What is ELISE MARO (PA-C) best known for clinically?
Directory data describes ELISE MARO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ELISE MARO (PA-C)?
ELISE MARO (PA-C)'s geographic hint is Mashpee, Massachusetts in our summary view.
Why does ELISE MARO (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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