Active NPI
Elizabeth Coleman, NP
- Family Nurse Practitioner
- Mankato, MN
National Provider Identifier
1518229657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R1699575
- Practice address
- 309 Holly LN
Mankato, MN 56001-5422 - Phone
- (507) 388-2120
- Fax
- (507) 388-4106
- NPI assigned
- Jun 14, 2012
- Last updated
- Sep 8, 2015
- 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 | R1699575 | MN | Primary |
Addresses
Primary practice location
309 Holly LN
Mankato, MN 56001-5422
Mailing address
309 Holly LN
Mankato, MN 56001-5422
Phone (507) 388-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 87.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 44.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1699575 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windom Area Hospital | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| City of Windom Ambulance | Current | Accepting new patients |
Locations
2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1518229657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 HOLLY LN",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015422",
"telephone_number": "507-388-2120",
"fax_number": "507-388-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 HOLLY LN",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015422",
"telephone_number": "507-388-2120",
"fax_number": "507-388-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R1699575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.