Lisa Suzanne Elwell, MSN, RN, APRN, FNP-C
Individual provider Active NPI Nurse Practitioner · Freer, TX
NPI 1528613320 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1528613320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP142330 (TX)
- Practice address
- 111 E Riley St
Freer, TX 78357 - Phone
- (361) 394-7311
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Usman Qureshi, MD, PA
Practice addresses (Care Compare)
1008 Medical Ctr Blvd
Alice, TX 78332-4212
Phone (361) 668-4278
Hospital & facility affiliations
- Christus Spohn Hospital Alice
- Christus Spohn Hospital Corpus Christi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212002447 | TX | Practitioner - Nurse Practitioner | 5294184586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142330 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usman Qureshi, MD, PA | Current |
Accepting new patients |
Locations
1008 Medical Center Blvd
Alice, TX 78332
Phone (361) 668-4278
Interoperability endpoints
- lelwell349377@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP142330 | TX | Yes |
Addresses
Primary practice location
111 E Riley St
Freer, TX 78357
Mailing address
111 E Riley St
Freer, TX 78357
Other providers in Freer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.