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

Elise Bognanno, MD

Individual provider Family Medicine Physician · NPI 1528407350

Elise Bognanno, MD is a Family Practice in Lynn, Massachusetts. Qualified in 2013, 13 years ago. Practices with Atrius Health Inc, a 1,205-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

269 Union St
Lynn, MA 01901-1314
Phone: (781) 581-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 — (586) 498-4400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301111442 (MI)

Record details

NPI number1528407350
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Atrius Health Inc — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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