Individual provider Active NPI

Elizabeth Michael Dvorak, FNP

  • Family Nurse Practitioner
  • Hardin, MT
National Provider Identifier
1508349341
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-131606 Issued in MT
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

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220000766 MT Practitioner - Nurse Practitioner 6507104304 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-131606MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Hospital Association CurrentSince Sep 11, 2018 Accepting new patients
Big Horn Hospital Association CurrentSince Sep 11, 2018 Accepting new patients

Locations

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.