Elizabeth Allison Ruth Berwaldt, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5378555072 Issued in KS

Practice address

2790 Clay Edwards Dr Ste 520
North Kansas City, MO 64116-3274

Phone

(816) 221-6750

Fax

(816) 221-7280

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elizabeth Allison Ruth Graham Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NKC Health Hospital, North Kansas City, MO, CCN 260096
• Liberty Hospital Hospital, Liberty, MO, CCN 260177

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732
  Medicare reassignment NPD
• Meritas Health Corporation

  dba NKC Health

  • Cardiovascular Disease Physician
  • North Kansas City, MO
  • NPI 1609855899
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation
• North Kansas City Hospital

  dba Skilled Nursing Unit

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  dba NKC Health

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1487112215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N. OAK TRAFFICWAY",
            "address_2": "LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552144",
            "telephone_number": "816-691-1655",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 520",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "816-221-6750",
            "fax_number": "816-221-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093753",
            "country_code": "US",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERWALDT",
        "first_name": "ELIZABETH",
        "middle_name": "ALLISON RUTH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022046158",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378555072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174504732",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GRAHAM",
            "middle_name": "ALLISON RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenna K Belshe, DO
• Jeffrey Scott Bennett
• Sydney Paige Benoit, PA
• Mary Ruth Benson, APRN
• Keenan R Berghoff, MD
• Trenton Bickel
• Stephanie Bild, FNP-C
• Michael Rush Bissette
• Leopoldine Blaise, DNP
• Nicholette Blanton, CPHT

• Family Nurse Practitioner in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.