ELISE NICOLE VAN ETTEN PA
NPI 1326588732
Physician Assistant - Surgical in Aurora, CO
NPI Status: Active since March 03, 2017
Contact Information
13123 E 16TH AVE # 323
ANSCHUTZ MEDICAL CAMPUS
AURORA, CO
ZIP 80045
Phone: (703) 328-2787
- Individual
- Female
- Physician Assistant
- Surgical
- Accepts Insurance
- PECOS Enrolled
About ELISE VAN ETTEN
This page provides the complete NPI Profile along with additional information for Elise Van Etten, a provider established in Aurora, Colorado with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1326588732 assigned on March 2017. The practitioner's primary taxonomy code is 363AS0400X with license number 0004919 (CO). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1326588732
- Provider Name
- ELISE NICOLE VAN ETTEN PA
- Other Name
- ELISE NICOLE SHELLENBERGER PA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13123 E 16TH AVE # 323 ANSCHUTZ MEDICAL CAMPUS AURORA, CO 80045
- Location Phone
- (703) 328-2787
- Mailing Address
- 13123 E 16TH AVE # 323 ANSCHUTZ MEDICAL CAMPUS AURORA, CO 80045
- Mailing Phone
- (703) 328-2787
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-03-2017
- Last Update Date
- 10-16-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0004919
- License State
- CO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elise Van Etten is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for ELISE NICOLE VAN ETTEN PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 5 | 8 | 8 | 7 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 10 | 8 | 16 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 1 + 0 + 8 + 1 + 6 + 7 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1326588732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427492289 | KRISTINE S CORKUM M.D. Individual | Surgery (Pediatric Surgery) | 13123 E 16TH AVE # 323 AURORA, CO 80045 (720) 777-6571 |
| 1619859527 | ISABELLA NAOMI BIELICKI MD Individual | Student in an Organized Health Care Education/Training Program | 13123 E 16TH AVE # 323 AURORA, CO 80045 (702) 777-4531 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326588732, enumerated in the NPI registry as an "individual" on March 03, 2017
The provider is located at 13123 E 16th Ave # 323 Anschutz Medical Campus Aurora, Co 80045 and the phone number is (703) 328-2787
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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