ELISHA ELYSE WEBSTER (M.D.) – Family Medicine Physician, NPI 1336592633

ELISHA ELYSE WEBSTER (M.D.) is a healthcare provider. based in Blue earth, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. RL14238 (ND). The NPI Number for ELISHA ELYSE WEBSTER (M.D.) is 1336592633

Main info

Female
10 Years Of Experience
Name
ELISHA ELYSE WEBSTER (M.D.)
NPI
1336592633
Phone
(507) 526-3273
Address
515 S MOORE ST
Enumeration Date
21 July 2016
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
5075267388
Graduation Year
2016 (10 years ago)
PAC ID
0941606974
Group Practice PAC ID
6204158884
Professional Enrollment ID
I20230725003784
Address ID
MN560132158BL515XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for ELISHA ELYSE WEBSTER (M.D.)

  • 515 S MOORE ST

    BLUE EARTH, MN 560132158

    Phone: (507) 526-3273

    Fax: (507) 526-2467

    Type: Mailing

  • 701, East Rosser Avenue, Bismarck, Burleigh County, North Dakota, 58501, United States

    BISMARCK, ND 585014461

    Phone: (701) 751-9500

    Fax: (701) 751-9508

    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: 2023-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210831001031IFamily PracticeGATBD
I20230725003784IFamily PracticeMNTBD

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 minutes5046$0
View full utilization report →

Insurance plans in this area (ZIP 56013)

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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: 6204158884View full group profile
NameSpecialtyState
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Clinical PsychologistMN
Emergency Medicine, Hospitalist, Emergency Medicine, Internal MedicineMI
Emergency MedicineCO
-MN
Family PracticeMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Where can patients find ELISHA ELYSE WEBSTER (M.D.)'s NPI?
You can confirm ELISHA ELYSE WEBSTER (M.D.) with NPI 1336592633; it appears in the national provider directory.
Is ELISHA ELYSE WEBSTER (M.D.) active in the national directory?
ELISHA ELYSE WEBSTER (M.D.)'s public NPI profile is in an active state.
Does ELISHA ELYSE WEBSTER (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ELISHA ELYSE WEBSTER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place ELISHA ELYSE WEBSTER (M.D.)?
The snapshot lists Blue Earth, Minnesota for ELISHA ELYSE WEBSTER (M.D.); download NPPES for the complete set.
Is ELISHA ELYSE WEBSTER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1336592633. Always confirm identity and privileges with the practice and licensing boards.

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