Individual provider Active NPI

Rachel Ann Elliott, ARNP

  • Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1558032045
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11015569 Issued in FL
Practice address
761 Chevy LN
Marianna, FL 32448-7249
Phone
(850) 567-9128
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015569 FL Primary

Addresses

Primary practice location

761 Chevy LN
Marianna, FL 32448-7249

Mailing address

761 Chevy LN
Marianna, FL 32448-7249
Phone (850) 567-9128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220126002358 FL Practitioner - Nurse Practitioner 9931591898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Management Solutions LLCGroup PAC ID 7517485980, 17 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015569FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Nurse Practitioner Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Jul 29, 2023 Accepting new patients
Lake Oliver Emergency Group, LLC Nurse Practitioner CurrentSince Jun 16, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Nurse Practitioner CurrentSince Jun 16, 2022 Accepting new patients
Emerald Coast Management Solutions LLC CurrentSince Mar 27, 2025 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

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

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

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

Organizations & group practices 6

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1558032045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CHEVY LN",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324487249",
            "telephone_number": "850-567-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 CHEVY LN",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324487249",
            "telephone_number": "850-567-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.