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

Elizabeth Edacheril Poulose

Individual provider Primary Care Nurse Practitioner · NPI 1205304409

Elizabeth Edacheril Poulose is a Nurse Practitioner in Burlington, North Carolina. Qualified in 2018, 8 years ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1041 Kirkpatrick Rd Ste 100
Burlington, NC 27215-8066
Phone: (336) 538-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5011182 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5011182 (NC)

Record details

NPI number1205304409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 5, 2018
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Burlington