ELYSSA M ENRIQUE (PA-C) – Physician Assistant, NPI 1578244323
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for ELYSSA M ENRIQUE (PA-C)
613 ROYER AVE NW
NORTH CANTON, OH 447202457
Phone: (330) 313-4114
Type: Mailing
4501 EMPIRE CT
FREDERICKSBURG, VA 224081949
Phone: (540) 371-0079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $2,323.
Total Amount is formed as General ($2,323) + Research ($0) + Ownership ($0) = $2,323.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($491).
Total Amount
$2,323
General + Research + Ownership
Payments
64
Total payment records
General Amount
$2,323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $491 |
| Novartis Pharmaceuticals Corporation | $211 |
| Lilly USA, LLC | $190 |
| E.R. Squibb & Sons, L.L.C. | $142 |
| Incyte Corporation | $132 |
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: 2024-01-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240122002084 | I | Physician Assistant | VA | TBD |
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.
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 44720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| - | VA | |
| H E M A T O L O G Y/ O N C O L O G Y | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | OH |
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