Active NPI
Elisha Elyse Webster, M.D.
- Family Medicine Physician
- Blue Earth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 74343
- Practice address
- 515 S Moore St
Blue Earth, MN 56013-2158 - Phone
- (507) 526-3273
- Fax
- (507) 526-2467
- NPI assigned
- Jul 21, 2016
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL14238 | ND | |
| Family Medicine Physician | 207Q00000X | 74343 | MN | Primary |
Addresses
Primary practice location
515 S Moore St
Blue Earth, MN 56013-2158
Mailing address
515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-3273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL14238 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Family Medicine | Current | Accepting new patients |
| United Hospital District Inc. | Family Medicine | Current | Accepting new patients |
| United Hospital District Inc. | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273
1950 Center Creek Dr
Fairmont, MN 56031
Phone (507) 238-1287
Interoperability endpoints
- ewebster20172@direct.emory.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
Family Medicine
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
dba UHD - Fairmont Clinic
- Rural Health Clinic/Center
- Fairmont, MN
- NPI 1144984766
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairmont, MN
- NPI 1821066499
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1336592633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S MOORE ST",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "560132158",
"telephone_number": "507-526-3273",
"fax_number": "507-526-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S MOORE ST",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "560132158",
"telephone_number": "507-526-3273",
"fax_number": "507-526-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "ELISHA",
"middle_name": "ELYSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL14238",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "74343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Earth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.