Individual provider Active NPI

Elizabeth Vettel

  • Case Manager/Care Coordinator
  • Mandan, ND
National Provider Identifier
1508528027
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6014 Issued in ND
Practice address
210 2ND Ave NW
Mandan, ND 58554-3124
Phone
(701) 667-3338
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6014 ND Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

210 2ND Ave NW
Mandan, ND 58554-3124

Mailing address

210 2ND Ave NW
Mandan, ND 58554-3124
Phone (701) 667-3338

Other identifiers 1

IdentifierTypeStateIssuer
171M00000XMedicaidND

Other names 1

  • Libbie Vettel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evettel@nd.gov Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6014NDMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1508528027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 2ND AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543124",
            "telephone_number": "701-667-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543124",
            "telephone_number": "701-667-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTEL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "6014",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evettel@nd.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Work",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "210 2nd Ave NW",
            "city": "Mandan",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585543124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIBBIE",
            "last_name": "VETTEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.