Elizabeth R Bostwick, APNP
Individual provider Active NPI Nurse Practitioner · Wisconsin Dells, WI
NPI 1447215868 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1447215868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 388 (WI)
- Practice address
- 1310 Broadway
Wisconsin Dells, WI 53965-1358 - Phone
- (608) 253-1171
- Fax
- (608) 253-8012
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Clinic Foundation LTD | Past | Accepting new patients |
Interoperability endpoints
- ebostwick263037@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 388 | WI | Yes |
Addresses
Primary practice location
1310 Broadway
Wisconsin Dells, WI 53965-1358
Mailing address
1310 Broadway
Wisconsin Dells, WI 53965-1358
Phone (608) 253-1171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447215868 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebostwick263037@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Wisconsin Dells, WI
- Renee Dawn Baumgartner
- Heather Sue Begalske
- Tami Bell
- Judy A. Bessac
- Daniel John Bodnar
- Breanna Carley
- David L. Clemens
- Nicole M Clemens
- Kathleen Dakter
- Brenna Davis
All providers in Wisconsin Dells, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.