Elite Specialty Clinics, Inc.
A Medicare group practice based in Williston, ND: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416138870), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416138870
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ND
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110218000370 | ND | Part B Supplier - Clinic/Group Practice | 1841594900 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Elite Specialty Clinics, Inc.
- Physical Therapy Clinic/Center
- Williston, ND
- NPI 1841594900
-
Elite Specialty Clinics, Inc.
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1235481540
Practice locations
- Williston, ND1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).
-
Kari Elizabeth Boston, P.T., D.P.T.
- Physical Therapist
- Williston, ND
- NPI 1083793061
-
Jordan Braun, DPT
- Physical Therapist
- Williston, ND
- NPI 1154795136
-
Amanda Kay Erickson, DPT
- Pediatric Physical Therapist
- Williston, ND
- NPI 1972903896
-
Misty K Falcon, NP
- Family Nurse Practitioner
- Williston, ND
- NPI 1417983164
-
Martin John Haug, DPT
- Physical Therapist
- Williston, ND
- NPI 1639139405
-
Cathie Sue Henneberry, F.N.P., APRN-BC, MSN
- Family Nurse Practitioner
- Williston, ND
- NPI 1053398909
-
Chris Huravitch, P.T., D.P.T
- Physical Therapist
- Williston, ND
- NPI 1861524076
-
Malinda Kirby, DPT
- Physical Therapist
- Williston, ND
- NPI 1609224229
-
Tyler Snellings, PT, DPT
- Physical Therapist
- Williston, ND
- NPI 1730734567
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.