Individual provider Active NPI

Elizabeth Kirwin Giles, MSN, RN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1154029528
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311153-01 Issued in NY
Practice address
77 Bleecker St Apt 213W
New York, NY 10012-1548
Phone
(805) 722-8817
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F311153-01 NY Primary

Addresses

Primary practice location

77 Bleecker St Apt 213W
New York, NY 10012-1548

Mailing address

77 Bleecker St Apt 213W
New York, NY 10012-1548
Phone (805) 722-8817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH, MD, NJ, VA, DC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230308001857 NY Practitioner - Nurse Practitioner 3678946894
I20240809002723 NH Practitioner - Nurse Practitioner 3678946894 Reassigns benefits to 1 organization
I20241016002139 MD Practitioner - Nurse Practitioner 3678946894
I20241111003218 NJ Practitioner - Nurse Practitioner 3678946894 Reassigns benefits to 1 organization
I20241204001947 VA Practitioner - Nurse Practitioner 3678946894 Reassigns benefits to 1 organization
I20250613001275 DC Practitioner - Nurse Practitioner 3678946894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F311153-01NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: egiles20262@carelonhealth.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1154029528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BLEECKER ST APT 213W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121548",
            "telephone_number": "805-722-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BLEECKER ST APT 213W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121548",
            "telephone_number": "805-722-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "ELIZABETH",
        "middle_name": "KIRWIN",
        "credential": "MSN, RN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311153-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.