Individual provider Active NPI

Elizabeth Yager, ARNP

  • Nurse Practitioner
  • Moline, IL
National Provider Identifier
1558947556
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A161043 Issued in IA
Practice address
520 Valley View Dr
Moline, IL 61265-6152
Phone
(309) 762-3621
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X A161043 IA Primary

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6152

Mailing address

2414 Scott St
Davenport, IA 52803-2719
Phone (712) 490-9817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210806000548 IA Practitioner - Nurse Practitioner 5890199251 Reassigns benefits to 1 organization
I20210816001613 IL Practitioner - Nurse Practitioner 5890199251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161043IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics PC Single Specialty CurrentSince May 6, 2021 Accepting new patients
Ora Orthopedics, PC Single Specialty CurrentSince May 6, 2021 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients
Advanced Radiology, S.C. Single Specialty Past Accepting new patients

Locations

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

2300 53rd Ave
Ste LL01
Bettendorf, IA 52722
Phone (563) 441-7608

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

3426 N Port Dr
Ste 400
Muscatine, IA 52761
Phone (563) 264-9185

3426 N Port Dr
Muscatine, IA 52761
Phone (563) 262-4101

1225 S Oakwood Ave
Ste 7B
Geneseo, IL 61254
Phone (309) 762-3621

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

520 Valley View Dr
Ste 400
Moline, IL 61265

510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621

520 Valley View Dr
Ste 100
Moline, IL 61265
Phone (309) 762-3621

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Interoperability endpoints

  • Direct secure messaging: eyager@ora2099.srs-direct.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1558947556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SCOTT ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032719",
            "telephone_number": "712-490-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A161043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.