Elizabeth Anne Denauw, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0228 Issued in NH

Practice address

6 First St
Colebrook, NH 03576-3128

Phone

(602) 237-4262

NPI assigned

May 26, 2006

Last updated

Jul 25, 2022By the provider in NPPES

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

Other identifiers 2

Other names 1

• Ms. Elizabeth Anne Doak Former name

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coos County Family Health Services IncGroup PAC ID 8628970480, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upper Connecticut Valley Hospital Hospital, Colebrook, NH, CCN 301300

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Berlin, NH
  • NPI 1346242054
  Medicare reassignment Care Compare group
• Indian Stream Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Canaan, VT
  • NPI 1215367891
  NPD
• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gorham, NH
  • NPI 1275535999

  Medical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1225084387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 INDIAN STREAM RD",
            "city": "PITTSBURG",
            "state": "NH",
            "postal_code": "035925102",
            "telephone_number": "603-630-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FIRST ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763128",
            "telephone_number": "602-237-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAUW",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011283",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOS COUNTY FAMILY HEALTH",
            "identifier": "1124751177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DOAK",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Connors
• Coos County Family Health Services, Inc
• Coos County Family Health Services, Inc
• Coos County Family Health Services, Inc (Coos County Family Health - Colebrook Site)
• Brandi R Covell
• Suzan Dewitt
• Nathan H Drum, OD
• Taylor Dupont
• Enlighten Nutrition & Wellness, LLC
• Expressmed, LLC (North Country Medical and Wellness)

• Medical Physician Assistant in Colebrook, NH
• Providers in Colebrook, NH by specialty
• Medical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.

Verify at the official NPI Registry.