Elizabeth Kinsey, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Manti, UT
NPI 1124758453 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1124758453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9416985-4405 (UT)
- Practice address
- 1330 W 200 N
Manti, UT 84642-8464 - Phone
- (435) 851-6477
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Phone (435) 462-3471
Hospital & facility affiliations
- Intermountain Health Sanpete Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725002272 | UT | Practitioner - Nurse Practitioner | 2062958085 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9416985-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9416985-3102 | UT | |
| Family Nurse Practitioner | 363LF0000X | 9416985-4405 | UT | Yes |
Addresses
Primary practice location
1330 W 200 N
Manti, UT 84642-8464
Mailing address
PO Box 353
Manti, UT 84642-0353
Phone (435) 851-6477
Other providers in Manti, UT
- Ihc Health Services Inc
- Michael D Jensen
- Annie Johnson
- Troy Kartchner
- Dallin Richard Kilpack
- Jamie Ann Kirkham
- Demetrius Leota
- Madolyn Liebing
- Corbin Linam
- Jessica Lund
All providers in Manti, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.