Individual provider Active NPI

Elizabeth M Belmont, APRN

  • Family Nurse Practitioner
  • Fremont, NE
National Provider Identifier
1447289137
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1762 Issued in NE
Practice address
710 Reynolds Rd
Fremont, NE 68025-2300
Phone
(402) 727-1091
Fax
(402) 727-7628
NPI assigned
Jul 3, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 1762 NE Primary

Addresses

Primary practice location

710 Reynolds Rd
Fremont, NE 68025-2300

Mailing address

710 Reynolds Rd
Fremont, NE 68025-2300
Phone (402) 727-1091

Other identifiers 1

IdentifierTypeStateIssuer
1762OtherNESTATE LICENSE

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
I20061005000218 NE Practitioner - Nurse Practitioner 0941206528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone (402) 727-1091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1762NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Oct 1, 2018 Accepting new patients
Physicians Clinic Inc CurrentSince Jan 1, 2022 Accepting new patients
Fremont Psychiatric Services Past Accepting new patients

Locations

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

350 W 23rd St
Fremont, NE 68025
Phone (402) 721-2444

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

680 E Fremont Medical Park Dr
Fremont, NE 68025
Phone (402) 727-1091

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

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.

Hospital & facility affiliations 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1447289137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS RD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-727-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS RD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-727-1091",
            "fax_number": "402-727-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMONT",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1762",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.