NPIMap

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
Last updated
Aug 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

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

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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

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 LLCGroup PAC ID 7315043007, shared by 2 NPIs, 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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-069423ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Florala Inc. Current Accepting new patients
Andalusia Physician Practices LLC CurrentSince Apr 22, 2013 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
Andalusia Physician Practices LLC CurrentSince Apr 22, 2013 Accepting new patients
Covington Medical Associates, P.C. Past Accepting new patients
Andalusia Professional Services LLC Family Past Accepting new patients

Locations

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-1366

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

847 W Bypass
Ste A
Andalusia, AL 36420
Phone (334) 222-1366

24245 5th Ave
Florala, AL 36442
Phone (334) 858-2050

Interoperability endpoints

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

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.