Active NPI
Elizibeth D Pittman, NP-C
- Family Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006110A
- Practice address
- 2330 Lynch Rd Ste 100
Evansville, IN 47711-2998 - Phone
- (812) 867-9800
- Fax
- (812) 867-4720
- NPI assigned
- Mar 9, 2016
- Last updated
- Apr 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006110A | IN | Primary |
Addresses
Primary practice location
2330 Lynch Rd Ste 100
Evansville, IN 47711-2998
Mailing address
291 Hillcrest Rd
Eldorado, IL 62930-3482
Phone (618) 841-1166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201352650 | Medicaid | IN | |
| 7100395510 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006110A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Institute, LLC | Current | Accepting new patients | |
| Interventional Pain Institute, LLC | Current | Accepting new patients | |
| Apg Network LLC | Current | Accepting new patients | |
| Associated Physicians Group LTD | Past | Accepting new patients |
Locations
4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454
1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100
1181 S State Route 157
Ste 201B
Edwardsville, IL 62025
Phone (618) 307-9015
916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211
916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211
916 Talon Dr
Ste 12
O Fallon, IL 62269
12 Wolf Creek Dr
Swansea, IL 62226
Phone (618) 239-9910
12 Wolf Creek Dr
Ste 200
Swansea, IL 62226
Phone (618) 239-9910
12 Wolf Creek Dr
Ste 201
Swansea, IL 62226
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1538860200
-
- Interventional Pain Medicine Physician
- Troy, MO
- NPI 1013779271
-
- Specialist
- Swansea, IL
- NPI 1235467606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1184085847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 HILLCREST RD",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303482",
"telephone_number": "618-841-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 LYNCH RD STE 100",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477112998",
"telephone_number": "812-867-9800",
"fax_number": "812-867-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "ELIZIBETH",
"middle_name": "D",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006110A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201352650",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100395510",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.