Active NPI
Elizabeth Michael Dvorak, FNP
- Family Nurse Practitioner
- Hardin, MT
National Provider Identifier
1508349341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-131606
- Practice address
- 17 N Miles Ave
Hardin, MT 59034-2323 - Phone
- (406) 665-2310
- Fax
- (406) 665-9238
- NPI assigned
- Sep 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-131606 | MT | Primary |
Addresses
Primary practice location
17 N Miles Ave
Hardin, MT 59034-2323
Mailing address
1122 1/2 8TH St W
Billings, MT 59101-5828
Phone (406) 647-5426
Other names 1
- Elizabeth Michael Krantz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|
| NUR-APRN-LIC-131606 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Horn Hospital Association | Current | Accepting new patients | |
| Big Horn Hospital Association | Current | Accepting new patients |
Locations
17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310
Interoperability endpoints
- edvorak@bighornhospital.cernerdirect.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Hardin, MT
- NPI 1891713533
-
- Medicare Defined Swing Bed Hospital Unit
- Hardin, MT
- NPI 1457441651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1508349341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 1/2 8TH ST W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591015828",
"telephone_number": "406-647-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N MILES AVE",
"city": "HARDIN",
"state": "MT",
"postal_code": "590342323",
"telephone_number": "406-665-2310",
"fax_number": "406-665-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "ELIZABETH",
"middle_name": "MICHAEL",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-131606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "KRANTZ",
"middle_name": "MICHAEL",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hardin, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.