ELIZABETH KIEFER – Physician Assistant, NPI 1134832751

ELIZABETH KIEFER is a healthcare provider. based in Berea, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.008817RX (OH). The NPI Number for ELIZABETH KIEFER is 1134832751

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH KIEFER
NPI
1134832751
Phone
Not provided
Address
275 EASTLAND RD
Enumeration Date
28 December 2022
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
6103364146
Group Practice PAC ID
3274431879
Professional Enrollment ID
I20240821002028
Address ID
OH441061716CL11100AVEX342
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for ELIZABETH KIEFER

  • 275 EASTLAND RD

    BEREA, OH 440172005

    Phone:

    Mailing address matches the actual address.

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: 2024-08-21

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
I20240821002028IPhysician AssistantOHTBD

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 44017)

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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: 3274431879View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantFL
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
-OH
Nurse PractitionerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the registry number for ELIZABETH KIEFER?
The registry entry for ELIZABETH KIEFER shows NPI 1134832751.
Should I treat ELIZABETH KIEFER as an active provider?
Patients and plans typically see ELIZABETH KIEFER as active in the national extract.
What services align with ELIZABETH KIEFER's listing?
ELIZABETH KIEFER's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIZABETH KIEFER?
ELIZABETH KIEFER is associated with Berea, Ohio in the same public data insurers reference.
Who maintains ELIZABETH KIEFER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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