Elizabeth Musolf, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA-05183-NP Issued in OH

Practice address

22614 W State Route 51
Genoa, OH 43430-1143

Phone

(419) 855-7772

Fax

(419) 855-4800

NPI assigned

Jul 22, 2005

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krishna M Ragothaman MD IncGroup PAC ID 5496913444, 2 clinicians

RS Medical Group PCGroup PAC ID 3375501240, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krishna M Ragothaman MD Inc

  • Primary Care Clinic/Center
  • Oak Harbor, OH
  • NPI 1841561677
  Medicare reassignment Care Compare group NPD
• RS Medical Group PC

  dba Maumee Health and Wellness

  • General Practice Physician
  • Maumee, OH
  • NPI 1558535807
  Medicare reassignment Care Compare group NPD
• Sandusky Wellness Center Inc

  • Chiropractor
  • Sandusky, OH
  • NPI 1356486187
  Medicare reassignment NPD
• RS Medical Group PC

  dba Lewis avenue now care

  • Family Medicine Physician
  • Temperance, MI
  • NPI 1639184435
  NPD
• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150

  Nurse Practitioner

  NPD (past)
• Promedica Central Physicians

  dba ProMedica Physicians Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD (past)
• Promedica Children's Specialists

  • Pediatrics Physician
  • Toledo, OH
  • NPI 1245444959
  NPD (past)
• Sandusky Wellness DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, OH
  • NPI 1134534225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1003816869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22614 W STATE ROUTE 51",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301143",
            "telephone_number": "419-855-7772",
            "fax_number": "419-855-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 Conneaut Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434025301",
            "country_code": "US",
            "telephone_number": "419-354-3295",
            "fax_number": "419-354-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSOLF",
        "first_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA-05183-NP",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.05183-NP",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "05183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4664546",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breana Mays, CNP
• James David McGaha Jr., FNP-C
• Aaron Martin Meinke, MD
• Heather Mildon
• Denise Mitchell
• Mark Christopher Nadaud, DO
• Angela Lynne Nail, LPN
• Keith Alan Norwalk, DDS
• Judith Reichert
• Sarah Reynolds

• Nurse Practitioner in Genoa, OH
• Providers in Genoa, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.