Active NPI
Elizabeth Ellen Osborne II, ARNP
- Family Nurse Practitioner
- Clarksville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002565A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28171309A | IN | MD | General Practice Registered Nurse |
| 71002565A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
IN
-
- Pediatric Infectious Diseases Physician
- Louisville, KY
- NPI 1558727545
Family
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Critical Access Hospital
- Scottsburg, IN
- NPI 1497883367
-
- Orthopaedic Surgery Physician
- Scottsburg, IN
- NPI 1952639890
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.