Elizabeth Bachorik, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R 203612-4 Issued in MN

Practice address

7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439

Phone

(952) 283-3162

Fax

(866) 991-7241

NPI assigned

Aug 4, 2008

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regenerative Medical ManagementGroup PAC ID 2769874528, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Regenerative Medical Management

  dba Minnesota Integrative Medicine

  • Multi-Specialty Clinic/Center
  • Baxter, MN
  • NPI 1811664220

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MN, Nurse Practitioner

  Medicare reassignment NPD
• LTC Professionals, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
  • NPI 1689559312
  NPD
• Brainerd Lakes Wellness, PC

  • Chiropractor
  • Baxter, MN
  • NPI 1316260417
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1083870646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393113",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHORIK",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "002467916",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 203612-4",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Bache, M.D.
• Inayat Bachelani
• Nora E Bacher, LICSW
• Chloe M Bachman
• Peter Clay Bachmeier, DDS
• Fouad Bachour, MD
• Catherine Dory Bachur, MD, MA
• Back on Track, PLLC
• Back to Basics Chiropractic & Wellness LLC
• Terrel Backes, LICENSED PSYCHOLOGIS

• Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.