Active NPIIndividual provider

Elisa Gao, FNP-BC

Nurse Practitioner in Southborough, Massachusetts

NPI Number1124824420
Practice location
24 Newton St, Southborough, MA 01772-1215
Fax
508-453-8152
Last updated
May 4, 2026

Elisa Gao is a Nurse Practitioner based in Southborough, MA. Elisa Gao practices in Southborough, MA and has the professional credentials of FNP-BC. The NPI Number for Elisa Gao is 1124824420 and holds a License No. RN2362747 (MA). The current practice location address for Elisa Gao is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 508-460-3250 and via fax at 508-453-8152.

Provider Profile Details

NPI Number
1124824420
Provider Name
Elisa Gao
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
24 Newton St, Southborough, MA 01772-1215
Phone Number
508-460-3250
Fax Number
508-453-8152
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2025
Last Update Date
May 4, 2026
Certification Date
May 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Newton St
Southborough, MA 01772-1215
Zip
01772-1215
Phone Number
508-460-3250
Fax Number
508-453-8152
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St
Attn:medical Staff Services
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-852-0600

License Information

License Number (1)
RN2362747
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
2362747
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elisa Gao, FNP-BC?

The NPI number of Elisa Gao, FNP-BC is 1124824420. It was assigned on February 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Elisa Gao, FNP-BC?

Elisa Gao, FNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2362747.

Where does Elisa Gao, FNP-BC practice?

The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 508-460-3250 (phone) or 508-453-8152 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124824420 directly on the NPPES registry website.

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