Active NPI
Laura K Elliott, ARNP
- Family Nurse Practitioner
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A095968
- Practice address
- 2508 25TH St
Rock Island, IL 61201-5419 - Phone
- (309) 732-0958
- Fax
- (309) 732-0963
- NPI assigned
- Nov 14, 2008
- Last updated
- Oct 1, 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 | A095968 | IA | Primary |
Addresses
Primary practice location
2508 25TH St
Rock Island, IL 61201-5419
Mailing address
2508 25TH St
Rock Island, IL 61201-5419
Phone (309) 732-0958
Other practice location 1
204 S Main St
Alexis, IL 61412-5048
Phone (309) 482-5571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833610 | Other | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 River Heritage Blvd
Bradenton, FL 34212-6348
Phone (941) 917-6440
500 John Ringling Blvd
Sarasota, FL 34236-1430
Phone (941) 952-4750
5360 University Pkwy
Sarasota, FL 34243-5800
Phone (941) 917-1234
5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950
6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678
8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 86.08
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physician Network LLC Series I | Current | Accepting new patients | |
| Global Physician Network LLC Series II | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients |
Locations
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1821518028
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1316467525
-
dba MedExpress Urgent Care - Hudson, State Road 52
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1205080405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 25TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015419",
"telephone_number": "309-732-0958",
"fax_number": "309-732-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 25TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015419",
"telephone_number": "309-732-0958",
"fax_number": "309-732-0963"
}
],
"practiceLocations": [
{
"address_1": "204 S Main St",
"address_purpose": "LOCATION",
"city": "Alexis",
"state": "IL",
"postal_code": "614125048",
"country_code": "US",
"telephone_number": "309-482-5571",
"fax_number": "309-482-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LAURA",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A095968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "833610",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.