Individual ProviderElise Erin KraeuterPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1 Medical Park, Wheeling, WV 26003-6379(304) 243-3000PECOS EnrollmentBased on the most recent information from CMS, provider Elise Erin Kraeuter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1477421444Provider TypeIndividualFull NameKraeuter, Elise ErinCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/29/2025Last Updated10/29/2025Contact InformationPractice LocationPractice Address1 Medical Park, Wheeling, WV 26003-6379Phone(304) 243-3000FaxUnlisted FaxMailing LocationMailing Address1 Medical Park, Wheeling, WV 26003-6379PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA066680PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseOA007289Pennsylvania