Individual provider Active NPI

Elizabeth A Paschall, APN

  • Family Nurse Practitioner
  • Linden, TN
National Provider Identifier
1033466453
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016693 Issued in TN
Practice address
847 Squirrel Hollow Dr
Linden, TN 37096-6479
Phone
(931) 589-2600
Fax
(931) 589-2602
NPI assigned
Aug 6, 2012
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000016693 TN Primary

Addresses

Primary practice location

847 Squirrel Hollow Dr
Linden, TN 37096-6479

Mailing address

1360 Airport Ridge Rd
P. O. Box 110
Linden, TN 37096-4007
Phone (931) 589-2011

Other names 1

  • Elizabeth A Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20120917000552 TN Practitioner - Nurse Practitioner 9234387218 Reassigns benefits to 1 organization
Practice locations: Linden, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alm and Agm LLCGroup PAC ID 6608263090, 8 clinicians

Practice addresses (Care Compare)

286 Hwy 412 E
Linden, TN 37096-6073

62 Medical Dr
Suite a
Linden, TN 37096-3305
Phone (931) 589-2600

PO Box
Suite 56
Linden, TN 37096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000016693TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alm & Agm LLC CurrentSince Jul 14, 2022 Accepting new patients
Stephen L. Averett Current Accepting new patients
Walk-in Medical Clinic of Linden PLLC Past Accepting new patients

Locations

62 Medical Dr
Linden, TN 37096
Phone (931) 589-2222

62 Medical Dr
Ste A
Linden, TN 37096
Phone (931) 589-2600

847 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 589-2600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAAGDD/Endpoint/BAAGDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Walk in Medical Clinic of LindenLinden, TN, CCN 883919 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 15, 2022
Sep 15, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1033466453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 AIRPORT RIDGE RD",
            "address_2": "P. O. BOX 110",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370964007",
            "telephone_number": "931-589-2011",
            "fax_number": "931-589-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 SQUIRREL HOLLOW DR",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370966479",
            "telephone_number": "931-589-2600",
            "fax_number": "931-589-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHALL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MARSHALL",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Linden, TN

Sources for this page

Verify at the official NPI Registry.