ELISE GONUL KACAN (PA) – Physician Assistant, NPI 1093434367

ELISE GONUL KACAN (PA) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for ELISE GONUL KACAN (PA) is 1093434367

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELISE GONUL KACAN (PA)
NPI
1093434367
Phone
(614) 302-5869
Address
1208 BICKLER RD
Enumeration Date
22 August 2022
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
0143752501
Group Practice PAC ID
3678564358
Professional Enrollment ID
I20241010002117
Address ID
TX787358982AU5625XRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ELISE GONUL KACAN (PA)

  • 1208 BICKLER RD

    AUSTIN, TX 787042502

    Phone: (614) 302-5869

    Type: Mailing

  • 3600 N GARFIELD ST

    MIDLAND, TX 797056329

    Phone: (432) 335-2222

    Type: Location

  • 5625 EIGER RD STE 200

    AUSTIN, TX 787358982

    Phone: (512) 892-7076

    Fax: (855) 270-9668

    Type: Mailing

  • 101 MEDICAL PKWY STE 220

    LAKEWAY, TX 787385649

    Phone: (512) 814-1984

    Fax: (855) 270-9668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dexcom, Inc. ($24).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-10-10

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
I20241010002117IPhysician AssistantTXTBD

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 78704)

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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: 3678564358View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ELISE GONUL KACAN (PA)?
NPI 1093434367 is assigned to ELISE GONUL KACAN (PA) under the national enumeration system.
Is ELISE GONUL KACAN (PA) currently active in the NPI registry?
CMS-published data lists ELISE GONUL KACAN (PA) as an active registrant.
Can you summarize ELISE GONUL KACAN (PA)'s specialty in plain language?
Clinically, the directory lists ELISE GONUL KACAN (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ELISE GONUL KACAN (PA)'s primary listing?
We display Austin, Texas because that is what the record indicates for ELISE GONUL KACAN (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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