Rachel Ann Elliott, ARNP
Individual provider Active NPI Nurse Practitioner · Marianna, FL
NPI 1558032045 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1558032045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11015569 (FL)
- Practice address
- 761 Chevy LN
Marianna, FL 32448-7249 - Phone
- (850) 567-9128
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emerald Coast Management Solutions LLC
Paragon Emergency Services LLC
Practice addresses (Care Compare)
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (936) 240-1639
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20220126002358 | FL | Practitioner - Nurse Practitioner | 9931591898 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015569 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Oliver Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Emerald Coast Management Solutions LLC | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current |
Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11015569 | FL | Yes |
Addresses
Primary practice location
761 Chevy LN
Marianna, FL 32448-7249
Mailing address
761 Chevy LN
Marianna, FL 32448-7249
Phone (850) 567-9128
Other providers in Marianna, FL
- Burton L Dunaway
- Antonionetta Marie Dunlap
- Kimberly Miller Dykes
- Charles Curry Eaves Jr.
- John Tyler Ellerbee
- Taylor Elliott
- Elyssa N Waller
- Emerald Coast Management Solutions LLC
- Emerald Coast Neonatology PA
- Eminence Emergency Physicians, LLC
All providers in Marianna, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. 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.