Individual provider Active NPI

Elizabeth Ann Davison, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1346748399
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112395 Issued in NE
Practice address
7121 Stephanie LN Ste 100
Lincoln, NE 68516-5359
Phone
(402) 466-0100
NPI assigned
Jan 24, 2018
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 112395 NE Primary

Addresses

Primary practice location

7121 Stephanie LN Ste 100
Lincoln, NE 68516-5359

Mailing address

7121 Stephanie LN Ste 100
Lincoln, NE 68516-5359
Phone (402) 466-0100

Other names 1

  • Elizabeth Doran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20180802003146 NE Practitioner - Nurse Practitioner 8820346158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital DistrictGroup PAC ID 7517856859, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

7121 Stephanie LN
Suite 100
Lincoln, NE 68516-5359
Phone (402) 466-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112395NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince Aug 1, 2018 Accepting new patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince Aug 1, 2018 Accepting new patients
Community Memorial Hospital District Past Accepting new patients

Locations

7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500

7350 Willowbrook Ln
Ste 102
Lincoln, NE 68516
Phone (402) 466-0100

115 S 8th St
Nebraska City, NE 68410
Phone (402) 209-0585

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Organizations & group practices 5

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 1

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1346748399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-466-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-466-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DORAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.