Active NPI
Brooke Elwell, PA-C
- Physician Assistant
- Newburyport, MA
National Provider Identifier
1043667108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5733
- Practice address
- 25 Highland Ave
Newburyport, MA 01950-3867 - Phone
- (978) 463-1000
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5733 | MA | Primary |
Addresses
Primary practice location
25 Highland Ave
Newburyport, MA 01950-3867
Mailing address
9 Oakland St
Newburyport, MA 01950-2113
Phone (978) 569-3092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIIBAA/Endpoint/BIIBAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1043667108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 OAKLAND ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502113",
"telephone_number": "978-569-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503867",
"telephone_number": "978-463-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWELL",
"first_name": "BROOKE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.