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Active NPI 1568673192 Individual Practitioner Female Practitioner

Elyse Provencher , LAC, MAC

Acupuncturist • Annapolis, MD

Professional Overview & Biography Verified Profile Summary

Elyse Provencher, LAC, MAC is a registered healthcare professional specializing in Acupuncturist in Annapolis, MD. Practice services are available at 2009 TIDEWATER COLONY WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2009 Tidewater Colony Way
Suite B2

Annapolis, MD 214012127

Telephone 4105731938
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Annapolis, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Annapolis, MD (1213 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License MD U01477

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Jon Lowe , MD

Internal Medicine

NPI 1437150844

Doctor of Medicine (M.D.)

NPI 1699921601

Licensed Acupuncturist, MAC

NPI 1760470157

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2009 TIDEWATER COLONY WAY, SUITE B2, ANNAPOLIS, MD 214012127 (Tel: 4105731938)

📍
Updated Business Mailing Address July 08, 2007

Registered at 68 HARBOUR HEIGHTS DR, ANNAPOLIS, MD 214012141 (Tel: 4105731938)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELYSE PROVENCHER, L.AC., M.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #U01477 in MD)

🟢
Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568673192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

68 Harbour Heights Dr

Annapolis, MD 214012141

Phone: 4105731938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.