DR. ELISA NICOLE GUMM DO
NPI 1356653018
Psychiatry & Neurology - Psychiatry in Tucson, AZ
NPI Status: Active since July 10, 2010
Contact Information
1501 N CAMPBELL AVE
TUCSON, AZ
ZIP 85724
Phone: (304) 374-4375
- Individual
- Female
- Years of Experience 16
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ELISA GUMM
This page provides the complete NPI Profile along with additional information for Elisa Gumm, a provider established in Tucson, Arizona with a medical specialization in Psychiatry & Neurology, focusing in psychiatry and more than 16 years of experience. She graduated from West Virginia School Of Osteopathic Medicine in 2010. The healthcare provider is registered in the NPI registry with number 1356653018 assigned on July 2010. The practitioner's primary taxonomy code is 2084P0800X with license number 2084P0800X (AZ). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1356653018
- Provider Name
- DR. ELISA NICOLE GUMM DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 N CAMPBELL AVE TUCSON, AZ 85724
- Location Phone
- (304) 374-4375
- Mailing Address
- 1501 N CAMPBELL AVE TUCSON, AZ 85724
- Mailing Phone
- (304) 374-4375
- Medical School Name
- WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2010
- Last Update Date
- 07-10-2010
- Code Navigator
A psychiatrist like Elisa Gumm are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2084P0800X
- License State
- AZ
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Bronze - PimaFocus Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - PimaFocus Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - PimaFocus Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Gold - PimaFocus Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Silver - PimaFocus Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - PimaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Bronze - PimaFocus Network - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- UHC Bronze Standard - HMO
- UHC Gold Standard - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elisa Gumm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Elisa Gumm 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
PECOS PAC ID: 4688806250
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140414000835
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 58 times for 40 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $42.15 for a new patient copayment and $17.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85724 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.6
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $42.15
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. ELISA NICOLE GUMM DO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 5 | 6 | 6 | 5 | 3 | 0 | 1 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 10 | 6 | 12 | 5 | 6 | 0 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 0 + 6 + 1 + 2 + 5 + 6 + 0 + 2 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1356653018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1285631481 | REBECCA ADELE MILLIUS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 626-6830 |
1891793170 | MR. MEDDIE NAZIFI PHARM.D Individual | Pharmacist | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-6133 |
1801896725 | BRIAN J KOPP PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-2173 |
1306846944 | DR. KATHRYN ROSE MATTHIAS PHARMD Individual | Pharmacist | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 626-2484 |
1205838117 | DR. CAROL ANN SCHNEIDERMAN PHARM D Individual | Pharmacist | 1501 N CAMPBELL AVE BOX 245039 TUCSON, AZ 85724 (520) 626-2889 |
1568458438 | DR. BHASKAR BANERJEE MD Individual | Internal Medicine (Gastroenterology) | 1501 N CAMPBELL AVE ROOM 6402 TUCSON, AZ 85724 (520) 626-6119 |
1750370631 | MS. LESLIE F BENSON M.S., C.G.C. Individual | Genetic Counselor, MS | 1501 N CAMPBELL AVE UNIVERSITY MEDICAL CENTER DEPT. OB/GYN TUCSON, AZ 85724 (520) 626-2152 |
1639168354 | SARA HAMMER RIORDAN M.S. Individual | Genetic Counselor, MS | 1501 N CAMPBELL AVE ROOM 1156 TUCSON, AZ 85724 (520) 626-3410 |
1710968565 | JANET CAMPION MD Individual | Internal Medicine (Geriatric Medicine) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-6000 |
1346224524 | JILL MARNI SCHULTZ PHARMD Individual | Pharmacist (Pharmacotherapy) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-2484 |
1962487751 | MS. BETSY ELLEN PAINTER FNP Individual | Nurse Practitioner (Family) | 1501 N CAMPBELL AVE SUITE 4615 TUCSON, AZ 85724 (520) 694-7000 |
1548249485 | RODNEY D ADAM MD Individual | Internal Medicine (Infectious Disease) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-8888 |
1114997376 | JOHN T CUNNINGHAM M.D. Individual | Internal Medicine (Gastroenterology) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 694-8888 |
1578534251 | ANTHONY A ADMIRE M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
1730150582 | ILANA B ADDIS M.D Individual | Obstetrics & Gynecology | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
1093787277 | DR. PATRICK KEVIN BOYLE M.D. Individual | Anesthesiology | 1501 N CAMPBELL AVE BOX 245114 TUCSON, AZ 85724 (520) 626-7221 |
1265404446 | JOSEPH ALPERT MD Individual | Internal Medicine (Cardiovascular Disease) | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
1386616100 | THOMAS BALL MD Individual | Pediatrics | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
1811969660 | STEVEN BARKER MD, PHD Individual | Anesthesiology | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
1720050404 | ROBERT D BASTRON MD Individual | Anesthesiology | 1501 N CAMPBELL AVE TUCSON, AZ 85724 (520) 874-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356653018, enumerated in the NPI registry as an "individual" on July 10, 2010
The provider is located at 1501 N Campbell Ave Tucson, Az 85724 and the phone number is (304) 374-4375
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider has more than 16 years of experience. She graduated from West Virginia School Of Osteopathic Medicine in 2010.
The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. 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.
Medicare beneficiaries should expect a typical cost of $168.6 with an average copayment of $42.15 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes.
This NPI record was last updated on July 10, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.