Individual provider Active NPI

Elizabeth Straub, ARNP

  • Family Nurse Practitioner
  • Platteville, WI
National Provider Identifier
1598144628
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7587-33 Issued in WI
Practice address
1240 Big Jack Rd
Platteville, WI 53818-8902
Phone
(600) 834-8626
Fax
(608) 342-5600
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 7587-33 WI Primary

Addresses

Primary practice location

1240 Big Jack Rd
Platteville, WI 53818-8902

Mailing address

1240 Big Jack Rd
Platteville, WI 53818-8902
Phone (600) 834-8626

Other names 1

  • Elizabeth Straub Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 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
I20170511000275 IA Practitioner - Nurse Practitioner 9537474036 Reassigns benefits to 1 organization
I20170511002564 WI Practitioner - Nurse Practitioner 9537474036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100

1240 Big Jack Rd
Platteville, WI 53818-8902
Phone (608) 348-6266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7587-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Clinic P C CurrentSince May 1, 2017 Accepting new patients

Locations

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1240 Big Jack Rd
Platteville, WI 53818
Phone (608) 348-2844

Interoperability endpoints

  • Direct secure messaging: eheth260448@direct-ehr-ssmhc.com

Organizations & group practices 1

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 3

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1598144628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BIG JACK RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188902",
            "telephone_number": "600-834-8626",
            "fax_number": "608-342-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BIG JACK RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188902",
            "telephone_number": "600-834-8626",
            "fax_number": "608-342-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7587-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STRAUB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.