Individual provider Active NPI

Elisabeth Edelstein, MD

  • Emergency Medicine Physician
  • Yellowstone National Park, WY
National Provider Identifier
1578754727
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12034C Issued in WY
Practice address
108 Albright Ave
Yellowstone National Park, WY 82190
Phone
(307) 344-7965
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD431630 PA
Emergency Medicine Physician 207P00000X DR.0060124 CO
Emergency Medicine Physician 207P00000X 12034C WY Primary

Addresses

Primary practice location

108 Albright Ave
Yellowstone National Park, WY 82190

Mailing address

108 Albright Ave
Yellowstone National Park, WY 82190

Other names 1

  • Elisabeth Tripodi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150116001086 CA Practitioner - Emergency Medicine 2567555337 Reassigns benefits to 1 organization
I20180501001881 CO Practitioner - Emergency Medicine 2567555337 Reassigns benefits to 1 organization
I20230406000463 WY Practitioner - Emergency Medicine 2567555337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stgi Health, LLCGroup PAC ID 1850764226, 15 clinicians

Practice addresses (Care Compare)

108 Albright Ave
Yellowstone National Park, WY 82190-9607
Phone (703) 578-6030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12034CWYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince May 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince May 1, 2018 Accepting new patients
Stgi Health, LLC CurrentSince Nov 24, 2022 Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

Interoperability endpoints

  • Direct secure messaging: stgihealthllc.elisabethedelstein@154263.advancedmd-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 8

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1578754727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ALBRIGHT AVE",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "82190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ALBRIGHT AVE",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "82190",
            "telephone_number": "307-344-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD431630",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0060124",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "12034C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "TRIPODI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yellowstone National Park, WY

Sources for this page

Verify at the official NPI Registry.