NPIMap

Individual provider Active NPI

Elizabeth Ann McCarrel

  • Obstetrics & Gynecology Physician
  • Grand Junction, CO
National Provider Identifier
1457663189
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR0053924 Issued in CO
Practice address
2373 G Rd
Suite 240
Grand Junction, CO 81505-1002
Phone
(970) 644-4400
Fax
(970) 263-2691
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR0053924 CO Primary

Addresses

Primary practice location

2373 G Rd
Suite 240
Grand Junction, CO 81505-1002

Mailing address

PO Box 1687
Grand Junction, CO 81502-1687
Phone (970) 256-6322

Other identifiers 1

IdentifierTypeStateIssuer
43928773MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000359 CO Practitioner - Obstetrics/Gynecology 6901027853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

2373 G Rd
Grand Junction, CO 81505-1003

2373 G Rd
Grand Junction, CO 81505-1006

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0053924COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Colorado West Healthcare System Current Accepting new patients
Community Medical Group, LLC CurrentSince Jun 18, 2017 Accepting new patients
Colorado West Healthcare System CurrentSince Aug 26, 2014 Accepting new patients
Community Medical Group, LLC CurrentSince Jun 18, 2017 Accepting new patients
Community Medical Group CurrentSince Aug 26, 2014 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

2373 G Rd
Ste 240
Grand Junction, CO 81505
Phone (970) 243-7908

688 23 12 Rd Ste 304
Ste 304
Grand Junction, CO 81505

Interoperability endpoints

  • Direct secure messaging: elizabethmccarrel@gvpc.allscriptsdirect.net

Organizations & group practices 8

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 5

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1457663189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021687",
            "telephone_number": "970-256-6322",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 240",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051002",
            "telephone_number": "970-644-4400",
            "fax_number": "970-263-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARREL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR0053924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43928773",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.