Individual provider Active NPI

Elizabeth Hill, FNP-C

  • Family Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1326434564
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R877513 Issued in MS
Practice address
4204 Clay St
Vicksburg, MS 39183-3438
Phone
(601) 619-7717
Fax
(601) 619-7782
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 R877513 MS Primary

Addresses

Primary practice location

4204 Clay St
Vicksburg, MS 39183-3438

Mailing address

4204 Clay St
Vicksburg, MS 39183-3438
Phone (601) 619-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20150512000420 MS Practitioner - Nurse Practitioner 7416276530 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arden of North Mississippi, LLC CurrentSince Jun 18, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

9035 E Sandidge Rd
Ste 102
Olive Branch, MS 38654
Phone (662) 893-5662

Interoperability endpoints

  • Direct secure messaging: elizabeth.hill@mea.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1326434564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833438",
            "telephone_number": "601-619-7717",
            "fax_number": "601-619-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833438",
            "telephone_number": "601-619-7717",
            "fax_number": "601-619-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.