DR. ELISE MARY PESCH (DNP) – Family Nurse Practitioner, NPI 1194344234

DR. ELISE MARY PESCH (DNP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 041410487 (IL). The NPI Number for DR. ELISE MARY PESCH (DNP) is 1194344234

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISE MARY PESCH (DNP)
NPI
1194344234
Phone
(320) 249-9048
Address
1320 W LAKE ST APT 221
Enumeration Date
9 April 2020
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
9529227600
Graduation Year
2020 (6 years ago)
PAC ID
7113317066
Group Practice PAC ID
2466404991
Professional Enrollment ID
I20220616001382
Address ID
MN553694490MA15715NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DR. ELISE MARY PESCH (DNP)

  • 1320 W LAKE ST APT 221

    MINNEAPOLIS, MN 554084710

    Phone: (320) 249-9048

    Type: Mailing

  • 1801 NICOLLET AVE

    MINNEAPOLIS, MN 554033791

    Phone: (612) 823-2947

    Fax: (612) 870-2947

    Type: Location

  • 6545 FRANCE AVE S STE 490

    EDINA, MN 554352123

    Phone: (952) 922-7600

    Fax: (952) 345-4448

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Neuronetics, Inc. ($58).

Total Amount

$353

General + Research + Ownership

Payments

16

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-06-16

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
I20220616001382INurse PractitionerMNTBD

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 55408)

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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: 2466404991View full group profile
NameSpecialtyState
Nurse PractitionerMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is DR. ELISE MARY PESCH (DNP) listed with a National Provider Identifier?
Yes — DR. ELISE MARY PESCH (DNP) has NPI 1194344234 on file in the registry.
Would DR. ELISE MARY PESCH (DNP) appear as active to a payer?
You can treat DR. ELISE MARY PESCH (DNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ELISE MARY PESCH (DNP)?
DR. ELISE MARY PESCH (DNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. ELISE MARY PESCH (DNP) registered?
Use Minneapolis, Minnesota as the headline location for DR. ELISE MARY PESCH (DNP) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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