Individual provider Active NPI

Lou-Ellen Enman, APRN

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1538708102
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
268265 Issued in AZ
Practice address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone
(415) 658-6791
Fax
(415) 252-7176
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN10016494 MA
Family Nurse Practitioner 363LF0000X 5020964 NC
Family Nurse Practitioner 363LF0000X AP61619871 WA
Family Nurse Practitioner 363LF0000X 1175403 TX
Family Nurse Practitioner 363LF0000X C-APN.0102897-C-NP CO
Family Nurse Practitioner 363LF0000X 268265 AZ Primary

Addresses

Primary practice location

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220225001171 AZ Practitioner - Nurse Practitioner 8820425895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268265AZMDFamily Nurse Practitioner
C-APN.0102897-C-NPCOMDFamily Nurse Practitioner
RN10016494MAMDFamily Nurse Practitioner
5020964NCMDFamily Nurse Practitioner
1175403TXMDFamily Nurse Practitioner
AP61619871WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Feb 15, 2022 Accepting new patients
Kingman Healthcare, Inc Family CurrentSince Feb 15, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 1, 2022 Accepting new patients
Elliot Hospital of the City of Manchester PastSince Jan 1, 2020 Accepting new patients

Locations

4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500

2202 N Stockton Hill Rd
Ste 101
Kingman, AZ 86401
Phone (619) 321-9541

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2226 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 681-8530

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530

Interoperability endpoints

  • Direct secure messaging: enman.lou.ellen@st.direct.azkrmc.md
  • Direct secure messaging: enman.lou.ellen@direct.azkrmc.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1538708102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENMAN",
        "first_name": "LOU-ELLEN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10016494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61619871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1175403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0102897-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "268265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.