Individual provider Active NPI

Elizabeth Boyle Kleinfelder, CRNP

  • Family Nurse Practitioner
  • Eastover, NC
National Provider Identifier
1134580442
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008522 Issued in NC
Practice address
3551 Dunn Rd
Eastover, NC 28312
Phone
(910) 483-6277
Fax
(910) 483-6369
NPI assigned
Mar 14, 2016
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP015767 PA
Family Nurse Practitioner 363LF0000X 5008522 NC Primary

Addresses

Primary practice location

3551 Dunn Rd
Eastover, NC 28312

Mailing address

3551 Dunn Rd Ste 101
Eastover, NC 28312-8794
Phone (717) 636-3255

Other practice location 1

8117 Preston Rd
Suite 800
Dallas, TX 75225-6332
Phone (214) 750-6407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20160721001294 NC Practitioner - Nurse Practitioner 2961795497 Reassigns benefits to 3 organizations
I20200813002179 SC Practitioner - Nurse Practitioner 2961795497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015767PAMDAcute Care Nurse Practitioner
5008522NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, North Carolina, P.C. CurrentSince May 1, 2016 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center, Inc. CurrentSince Aug 5, 2022 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Aug 5, 2022 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 15, 2020 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince Feb 15, 2020 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (919) 267-0421

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245

Interoperability endpoints

  • Direct secure messaging: ekleinfelder@goshenmedical.cloudcraftdirect.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1134580442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 DUNN RD STE 101",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "283128794",
            "telephone_number": "717-636-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 DUNN RD",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "28312",
            "telephone_number": "910-483-6277",
            "fax_number": "910-483-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8117 Preston Rd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752256332",
            "country_code": "US",
            "telephone_number": "214-750-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINFELDER",
        "first_name": "ELIZABETH",
        "middle_name": "BOYLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP015767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastover, NC

Sources for this page

Verify at the official NPI Registry.