Active NPI
Rebecca Evelyn Elbert, CNS
- Clinical Nurse Specialist
- Fargo, ND
National Provider Identifier
1235156191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- R19257
- Practice address
- 3220 4TH St E Ste 102
Fargo, ND 58104 - Phone
- (014) 048-9697
- Fax
- (701) 203-0137
- NPI assigned
- Jul 16, 2006
- Last updated
- Jan 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R19257 | ND | |
| Clinical Nurse Specialist | 364S00000X | R19257 | ND | Primary |
Addresses
Primary practice location
3220 4TH St E Ste 102
Fargo, ND 58104
Mailing address
3453 Interstate Blvd S Ste B
Fargo, ND 58103-2257
Phone (701) 540-5547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | Past | Accepting new patients | |
| D & L PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Quality Life
- Psychiatric/Mental Health Clinical Nurse Specialist
- Fargo, ND
- NPI 1871684530
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1235156191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3453 INTERSTATE BLVD S STE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581032257",
"telephone_number": "701-540-5547",
"fax_number": "701-205-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 4TH ST E STE 102",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "014-048-9697",
"fax_number": "701-203-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBERT",
"first_name": "REBECCA",
"middle_name": "EVELYN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2021-01-22",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "R19257",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "ND",
"license": "R19257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.