Elizabeth Ann Hines, APRN,BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28121880 Issued in IN

Practice address

115 S Murphy Ave
Suite a
Brazil, IN 47834-8296

Phone

(812) 442-2100

Fax

(812) 446-4409

NPI assigned

Oct 26, 2005

Last updated

Oct 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Providence Medical Group, LLCGroup PAC ID 9335135995, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ehines@unionhealth.cernerdirect.com

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.

• Union Hospital, Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013965573
  Medicare reassignment Care Compare group NPD
• Providence Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Terre Haute, IN
  • NPI 1891729141
  Care Compare group
• Union Hospital Inc

  dba Brazil Family Medicine

  • Rural Health Clinic/Center
  • Brazil, IN
  • NPI 1013087048
  NPD
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD
• Union Hospital, Inc.

  dba Union Hospital Clinton

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Union Hospital Inc.

  dba Union Hospital Family Medicine Center

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1508857145
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent Clay Hospital, Inc

  • Critical Access Hospital
  • Brazil, IN
  • NPI 1770533994
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1619967098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023584",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MURPHY AVE",
            "address_2": "SUITE A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348296",
            "telephone_number": "812-442-2100",
            "fax_number": "812-446-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28121880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla Heck Sacopulos, O.D.
• Thomas Henderson, PHD, HSPP, LMFT
• Sandra Darlene Hendrich, PT
• Nicole Hennecke
• Kimberly Hess, COTA
• Kelsey Hines, OTR
• April P Hobbs, HIS
• Hook-Superx LLC (CVS Pharmacy #06682)
• Hoosier Care II (Clay County Healthcare Center)
• Oscar Jerome III Hormillosa, PT

• Family Nurse Practitioner in Brazil, IN
• Providers in Brazil, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.