Elizabeth Stevenson

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

10434 Issued in WI

Practice address

1021 Gilson St
Madison, WI 53715-1721

Phone

(608) 333-7098

NPI assigned

Nov 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrated Wound Care Management Wisconsin LLC

  • General Practice Physician
  • Superior, WI
  • NPI 1154963049
  Medicare reassignment NPD
• Rainbow Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Jefferson, WI
  • NPI 1538134499
  Medicare reassignment NPD
• Rock River Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Whitewater, WI
  • NPI 1184220659
  Medicare reassignment NPD
• Rainbow Hospice Care, Inc.

  • Nurse Practitioner
  • Johnson Creek, WI
  • NPI 1821799727
  NPD
• Rock River Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Watertown, WI
  • NPI 1427717115
  NPD

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1205436821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 GILSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151721",
            "telephone_number": "608-333-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GILSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151721",
            "telephone_number": "608-333-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "10434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew Stevens, MD
• Furtis Marcel Stevens, Jr
• Kendall I Stevens, MD
• Marion T Stevens, LPC
• Sally J Stevens, MSSW, LCSW, CADC
• Kristin J Stevenson, MD
• Laura Stevenson, NP
• Donna Marie Stewart-Martin, LPC
• Cody Charles Stewart, MD
• Jimmie Stewart III, MD

• Primary Care Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Primary Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.