Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa Gao, FNP-BC

Individual provider Nurse Practitioner · NPI 1124824420

Elisa Gao, FNP-BC is a Nurse Practitioner in Southborough, Massachusetts. Qualified in 2024, 2 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

24 Newton St
Southborough, MA 01772-1215
Phone: (508) 460-3250
Fax: (508) 453-8152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2362747 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 2362747 (MA)

Record details

NPI number1124824420
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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