Elizabeth Boyle Kleinfelder, CRNP
Individual provider Active NPI Family Nurse Practitioner · Eastover, NC
NPI 1134580442 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1134580442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5008522 (NC)
- Practice address
- 3551 Dunn Rd
Eastover, NC 28312 - Phone
- (910) 483-6277
- Fax
- (910) 483-6369
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- 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 |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015767 | PA | MD | Acute Care Nurse Practitioner |
| 5008522 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Memorial Hospital, Inc | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Inc. | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Apogee Medical Group North Carolina | Current |
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 (910) 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
957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245
1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357
Interoperability endpoints
- ekleinfelder@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP015767 | PA | |
| Family Nurse Practitioner | 363LF0000X | 5008522 | NC | Yes |
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
Other providers in Eastover, NC
- Zachary Clay Hayes
- Anna M Hiltibidal
- Allison Underwood Holden
- J & S Care Inc.
- Kaleo Support, Inc.
- Margaret Susan Lewis
- Phyllis Ann McClure
- Erin McQueen
- Deborah Lynn Morris
- Karena King Nelson
All providers in Eastover, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.