Active NPI
Elisabeth A Mates, MD
- Hospitalist Physician
- Carson City, NV
National Provider Identifier
1093733834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 15457
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703-4625 - Phone
- (775) 445-8795
- Fax
- (775) 445-5175
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD00037050 | WA | |
| Hospitalist Physician | 208M00000X | 15457 | NV | Primary |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Mailing address
PO Box 3299
Carson City, NV 89702-3299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8239931 | Medicaid | WA | |
| 0177914 | Other | WA | L&I |
Other names 1
- Elisabeth A Vanlobensels
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1093733834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3299",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897023299",
"fax_number": "509-665-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034625",
"telephone_number": "775-445-8795",
"fax_number": "775-445-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATES",
"first_name": "ELISABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00037050",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "15457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8239931",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0177914",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "VANLOBENSELS",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.