Individual provider Active NPI

Laura K Elliott, ARNP

  • Family Nurse Practitioner
  • Rock Island, IL
National Provider Identifier
1205080405
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A095968 Issued in IA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
833610OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422001714 FL Practitioner - Nurse Practitioner 7012070329 Reassigns benefits to 2 organizations

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
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

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 100Reported as group
Quality
86.08
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series I CurrentSince Feb 15, 2022 Accepting new patients
Global Physician Network LLC Series II CurrentSince Feb 15, 2022 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.

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

Verify at the official NPI Registry.