Individual provider Active NPI

Rebecca Evelyn Elbert, CNS

  • Clinical Nurse Specialist
  • Fargo, ND
National Provider Identifier
1235156191
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
R19257 Issued in ND
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center PastSince Jul 28, 2024 Accepting new patients
D & L PC PastSince Feb 17, 2006 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.

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

Verify at the official NPI Registry.