Individual provider Active NPI

Elizabeth Bator, FNP-BC

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1023489556
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29952 Issued in TN
Practice address
1100 Ted a Crozr Blvd Ste a
Clarksville, TN 37043-8912
Phone
(931) 538-3039
Fax
(931) 245-5484
NPI assigned
Oct 9, 2015
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18165-NP OH
Family Nurse Practitioner 363LF0000X 0994265 CO
Family Nurse Practitioner 363LF0000X 29952 TN Primary

Addresses

Primary practice location

1100 Ted a Crozr Blvd Ste a
Clarksville, TN 37043-8912

Mailing address

1100 Ted a Crozr Blvd
Clarksville, TN 37043-8912
Phone (931) 538-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160909002116 OH Practitioner - Nurse Practitioner 6800190935 Reassigns benefits to 1 organization
I20241205000533 TN Practitioner - Nurse Practitioner 6800190935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red River Medical Group CorporationGroup PAC ID 4486187606, 2 clinicians

Practice addresses (Care Compare)

1110 A Ted Crozier Sr Blvd
Clarksville, TN 37043-8912
Phone (931) 320-9467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0994265COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. CurrentSince Aug 22, 2016 Accepting new patients
Red River Medical Group Corporation Family CurrentSince Jul 1, 2024 Accepting new patients
Healthstar Medical Group PLLC Family CurrentSince Jan 27, 2025 Accepting new patients
Northstar Medical Group LLC Past Accepting new patients

Locations

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1100 Ted a Crozier SR Blvd
Ste A
Clarksville, TN 37043
Phone (931) 802-6100

1110 Ted a Crozier SR Blvd
Clarksville, TN 37043
Phone (931) 320-9467

1960 Madison St
Clarksville, TN 37043

351 Dover Rd
Clarksville, TN 37042
Phone (931) 368-9736

560 Fire Station Rd
Clarksville, TN 37043
Phone (931) 358-4146

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1023489556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TED A CROZR BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438912",
            "telephone_number": "931-538-3039",
            "fax_number": "931-245-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TED A CROZR BLVD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438912",
            "telephone_number": "931-538-3039",
            "fax_number": "931-245-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATOR",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18165-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0994265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.