Active NPI
Elizabeth Grace Mills, PA-C
- Emergency Medicine Physician
- Manchester, IA
National Provider Identifier
1104579333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 112524
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-3232
- Fax
- (563) 927-7486
- NPI assigned
- Jan 28, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Emergency Medicine Physician | 207P00000X | 112524 | IA | Primary |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
709 W Main St
Manchester, IA 52057-1526
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmc.emills@rmc.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112524 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients |
Locations
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457
Interoperability endpoints
- rmc.emills@rmc.cernerdirect.com
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, IA
- NPI 1982667929
-
- Emergency Medical Services (Emergency Medicine) Physician
- Manchester, IA
- NPI 1326073669
-
- Rural Health Clinic/Center
- Dyersville, IA
- NPI 1689264756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1104579333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-3232",
"fax_number": "563-927-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "112524",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmc.emills@rmc.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Regional Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "709 W Main St",
"city": "Manchester",
"state": "IA",
"country_code": "US",
"postal_code": "520571526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.