Individual provider Active NPI

Jill Cason Elmore, CNRP

  • Family Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1285841270
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-069423 Issued in AL
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.

Hospital & facility affiliations 6

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

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 29 clinicians

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 Home health agency, Andalusia, AL, CCN 017121
  • LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Physician Practices LLC CurrentSince Apr 22, 2013 Accepting new patients
Andalusia Physician Practices LLC CurrentSince Apr 22, 2013 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

  • Direct secure messaging: jill.elmore.1@19364.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-069423 AL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1-069423OtherAL LICENSE
511-62253OtherALBCBS

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

Verify at the official NPI Registry.