Individual provider Active NPI

Elizabeth Emily Paul, CNP

  • Family Nurse Practitioner
  • Springfield, SD
National Provider Identifier
1568197580
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002468 Issued in SD
Practice address
1412 Wood St
Springfield, SD 57062-2238
Phone
(605) 369-2201
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP002468 SD Primary

Addresses

Primary practice location

1412 Wood St
Springfield, SD 57062-2238

Mailing address

408 S 1St St
Parkston, SD 57366-2255
Phone (605) 216-9154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20230224002047 SD Practitioner - Nurse Practitioner 6901279777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Benedict Health CenterGroup PAC ID 4880507672, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-7961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002468SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Benedict Health Center CurrentSince Jan 30, 2023 Accepting new patients
St Benedict Health Center Current Accepting new patients
Avera Marshall Current Accepting new patients
St Benedict Health Center CurrentSince Jan 30, 2023 Accepting new patients

Locations

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

Interoperability endpoints

  • Direct secure messaging: elizabeth.paul@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1568197580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 1ST ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573662255",
            "telephone_number": "605-216-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 WOOD ST",
            "city": "SPRINGFIELD",
            "state": "SD",
            "postal_code": "570622238",
            "telephone_number": "605-369-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ELIZABETH",
        "middle_name": "EMILY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, SD

Sources for this page

Verify at the official NPI Registry.