Active NPI
Jill Cason Elmore, CNRP
- Family Nurse Practitioner
- Andalusia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-069423
- Practice address
- 301 Medical Ave
Suite a
Andalusia, AL 36420-1103 - Phone
- (334) 222-1366
- Fax
- (334) 222-1150
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
-
- Family Medicine Physician
- Andalusia, AL
- NPI 1972870335
-
- Primary Care Clinic/Center
- Florala, AL
- NPI 1104120179
-
- Emergency Medicine Physician
- Andalusia, AL
- NPI 1649726001
Family
-
- Internal Medicine Physician
- Andalusia, AL
- NPI 1629093240
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Andalusia, AL
- NPI 1730118621
-
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
Hospital
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
-
- Home Health Agency
- Opp, AL
- NPI 1033293352
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Andalusia Physician Practices LLC
Practice addresses (Care Compare)
301 Medical Ave
Andalusia, AL 36420-1105
Phone (334) 222-1211
847 W Bypass
Suite a
Andalusia, AL 36420-4747
Phone (334) 428-2273
Hospital & facility affiliations
- Centerwell Home Health
- LHC Homecare of South Alabama
- Andalusia Health
- Mizell Memorial Hospital
- Baptist Medical Center South
- Flowers Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080304000209 | AL | Practitioner - Nurse Practitioner | 0446334239 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| United Florala Inc. | Current | Accepting new patients | |
| Andalusia Professional Services LLC | Family | Past | Accepting new patients |
| Covington Medical Associates, P.C. | Past | Accepting new patients |
Locations
847 W Bypass
Ste A
Andalusia, AL 36420
Phone (334) 222-1366
301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211
301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100
24245 5th Ave
Florala, AL 36442
Phone (334) 858-2050
Interoperability endpoints
- jill.elmore.1@19364.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-069423 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
301 Medical Ave
Suite a
Andalusia, AL 36420-1103
Mailing address
301 Medical Ave
Suite a
Andalusia, AL 36420-1103
Phone (334) 222-1366
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-069423 | Other | AL LICENSE | |
| 511-62253 | Other | AL | BCBS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2015.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1285841270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEDICAL AVE",
"address_2": "SUITE A",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201103",
"telephone_number": "334-222-1366",
"fax_number": "334-222-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEDICAL AVE",
"address_2": "SUITE A",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201103",
"telephone_number": "334-222-1366",
"fax_number": "334-222-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "JILL",
"middle_name": "CASON",
"credential": "CNRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-069423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL LICENSE",
"identifier": "1-069423",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-62253",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.