Elizabeth Ann Doro, MSN, RN, CPNP-AC

Key facts

NPI

1578038899

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

8770-33 (WI)

Practice address

7861 State Road 60
Cedarburg, WI 53012-9305

Phone

(262) 546-1050

Fax

(262) 546-1051

NPI assigned

Oct 13, 2018

Sex

Female

Sole proprietor

No

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.

• Aurora Medical Group, Inc. Certified Registered Nurse Anesthetist · Milwaukee, WI · NPI 1427271378
  Medicare reassignment NPD WI
• Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies · Oshkosh, WI · NPI 1326858044
  NPD
• Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies · Manitowoc, WI · NPI 1801941075
  NPD (past)
• Lakeshore Medical Clinic, LLC Family Medicine Physician · Saint Francis, WI · NPI 1003861188
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edoro26261@direct.chw.org
• Direct secure messaging: edoro118412@direct.myadvocateaurora.org

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2022.

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1578038899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 BLACKFOOT AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249581",
            "telephone_number": "920-905-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 STATE ROAD 60",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129305",
            "telephone_number": "262-546-1050",
            "fax_number": "262-546-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MSN, RN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "8770",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8770",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "8770-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082427",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edoro118412@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9000 W Sura Ln",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532283477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9000 W Sura Ln",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532283477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedarburg, WI

• David Dich, LPC
• Debbie K Dlugopolski, OTR
• Carolyn Beth Dodge, OTR
• Donald J. Meyer, Dosc
• Meghan Elizabeth Donovan, PHYSICAL THERAPIST
• Emily Lynn Dowling, OTR
• Daniel P Duffy, MD
• Kimberly Duran
• Dva Renal Healthcare Inc
• Samantha Dyson, LPC-IT

All providers in Cedarburg, WI · Pediatric Nurse Practitioner in Wisconsin