Active NPI
Diana Elwell, DNP
- Nurse Practitioner
- Bristol, CT
National Provider Identifier
1477912178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6458
- Practice address
- 41 Brewster Rd
Bristol, CT 06010-5161 - Phone
- (860) 585-3000
- NPI assigned
- Feb 23, 2016
- 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 Nurse Practitioner | 363LF0000X | 6458 | CT | |
| Nurse Practitioner | 363L00000X | 6458 | CT | Primary |
Addresses
Primary practice location
41 Brewster Rd
Bristol, CT 06010-5161
Mailing address
531 Manhattan Ave
Garden Apt
New York, NY 10027-5215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6458 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Nurse Practitioner | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| East Post Road Medical Services PC | Current | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Nurse Practitioner
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1477912178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 MANHATTAN AVE",
"address_2": "GARDEN APT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 BREWSTER RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105161",
"telephone_number": "860-585-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWELL",
"first_name": "DIANA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6458",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "6458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
- Christina Lynn Ehrenreich, LCMHC
- Eleonora Corey Counseling Services LLC
- Elim Labenie Home Care LLC
- Michael Roy Ellis, DMD
- Hadeer Saleh Eltahan, MD
- Embracing Our Journey Counseling, LLC
- Embracing Our Journey Counseling, LLC
- Emergency Medical Associates of Connecticut PC
- Kara Ann Emmett, APRN
- Darlene Ende
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.