ELIZABETH PAK (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619528833
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for ELIZABETH PAK (CRNP)
North American Street, Olde Kensington, Philadelphia, Philadelphia County, Pennsylvania, 19133, United States
PHILADELPHIA, PA 191333413
Phone: (215) 739-2669
Fax: (215) 739-5879
Type: Mailing
390 COMMERCE DR # 220
FORT WASHINGTON, PA 190342600
Phone: (267) 715-2089
Fax: (267) 361-1300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $632.
Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($227).
Total Amount
$632
General + Research + Ownership
Payments
27
Total payment records
General Amount
$632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200506000708 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 573 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 34 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 84 | 28 | $0 |
Insurance plans in this area (ZIP 19133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | PA |
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