Elise Fannon, MD, MPP
NPI 1609371574 · Surgery Physician · West Sacramento, CA
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elise Fannon, MD, MPP is a Surgery Physician provider in West Sacramento, CA (NPI 1609371574).
Provider details
- NPI number
- 1609371574
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-24
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Frequently asked questions
- What is Elise Fannon's NPI number?
- Elise Fannon's National Provider Identifier (NPI) is 1609371574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elise Fannon's specialty?
- Elise Fannon is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Elise Fannon located?
- Elise Fannon's practice location on file with NPPES is 3312 Chickadee Ct, West Sacramento, CA 95691-6450.
- What is Elise Fannon's phone number?
- The practice phone number listed in the NPPES registry for Elise Fannon is (515) 401-2537.
- Does Elise Fannon accept Medicare?
- Elise Fannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elise Fannon's NPI active?
- Yes — Elise Fannon's NPI (1609371574) is active in the NPPES registry as of the last update on 2025-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.