Individual provider Active NPI

Elizabeth Ellen Osborne II, ARNP

  • Family Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1487835286
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002565A Issued in IN
Practice address
220 E Lewis and Clark Pkwy
Clarksville, IN 47129-1724
Phone
(812) 280-5315
Fax
(502) 394-3669
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 28171309A IN
Family Nurse Practitioner 363LF0000X 28171309A IN
Family Nurse Practitioner 363LF0000X 71002565A IN Primary

Addresses

Primary practice location

220 E Lewis and Clark Pkwy
Clarksville, IN 47129-1724

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address eosborne154006@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20080327000602 IN Practitioner - Nurse Practitioner 5799861936 Reassigns benefits to 2 organizations
I20220512002781 KY Practitioner - Nurse Practitioner 5799861936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28171309AINMDGeneral Practice Registered Nurse
71002565AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Feb 4, 2022 Accepting new patients
Scott Physician Group LLC Past Accepting new patients
Scott Memorial Hospital Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1465 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0001

2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

12101 Shelbyville Rd
Middletown, KY 40243
Phone (502) 244-7037

Interoperability endpoints

  • Direct secure messaging: eosborne20869@carelonhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1487835286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291724",
            "telephone_number": "812-280-5315",
            "fax_number": "502-394-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "name_suffix": "II",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28171309A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28171309A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002565A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eosborne154006@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "220 E Lewis and Clark Pkwy",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471291724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "220 E Lewis and Clark Pkwy",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471291724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.