Individual provider Active NPI

Elizabeth Byersmith, APRN, FNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1053048306
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704394190 Issued in MI
Practice address
2109 Hughes Dr Ste 160
Toledo, OH 43606-3856
Phone
(855) 251-8615
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0031777 OH
Family Nurse Practitioner 363LF0000X 4704394190 MI Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 160
Toledo, OH 43606-3856

Mailing address

6232 Arrowhead Dr
Sylvania, OH 43560-2103
Phone (419) 360-4663

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.byersmith@promedica.org Direct
Direct Messaging Address ebyersmith18656@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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
I20221021000120 MI Practitioner - Nurse Practitioner 8224404934 Reassigns benefits to 1 organization
I20230411000562 OH Practitioner - Nurse Practitioner 8224404934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

500 E Pottawatamie St
Tecumseh, MI 49286-2018
Phone (517) 424-3000

5300 Harroun Rd
Suite 118
Sylvania, OH 43560-2146
Phone (419) 479-5386

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0031777OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2022 Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 160
Toledo, OH 43606
Phone (855) 251-8615

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1053048306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 ARROWHEAD DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602103",
            "telephone_number": "419-360-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 160",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "855-251-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERSMITH",
        "first_name": "ELIZABETH",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-11-03",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704394190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.byersmith@promedica.org",
            "affiliation": "N",
            "endpointDescription": "Secured email through ProMedica",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2109 Hughes Dr Ste 160",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436063856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebyersmith18656@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.