Individual provider Active NPI

Elizabeth Marie Printup, FNP

  • Family Nurse Practitioner
  • Lewiston, NY
National Provider Identifier
1609866805
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330936-1 Issued in NY
Practice address
2015 Mount Hope Rd
Lewiston, NY 14092-9762
Phone
(716) 297-0310
Fax
(716) 297-1562
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 F330936-1 NY Primary

Addresses

Primary practice location

2015 Mount Hope Rd
Lewiston, NY 14092-9762

Mailing address

2015 Mount Hope Rd
Lewiston, NY 14092-9762
Phone (716) 297-0310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120829000004 NY Practitioner - Nurse Practitioner 9931356839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

4039 Route 219
Suite 101
Salamanca, NY 14779-9625
Phone (716) 945-0361

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F330936-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Family Current Accepting new patients
Olean General Hospital CurrentSince Aug 15, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

Interoperability endpoints

  • Direct secure messaging: elizabethprintup@healthsystemphysicianpc.medentdirect.com

Organizations & group practices 3

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 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1609866805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MOUNT HOPE RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140929762",
            "telephone_number": "716-297-0310",
            "fax_number": "716-297-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MOUNT HOPE RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140929762",
            "telephone_number": "716-297-0310",
            "fax_number": "716-297-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINTUP",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330936-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.