Active NPI
Elizabeth Price, NURSE PRACTITIONER
- Family Nurse Practitioner
- Bremerton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61240800
- Practice address
- 5788 Gateway LN NE
Bremerton, WA 98311-3184 - Phone
- (360) 626-3220
- NPI assigned
- Dec 13, 2021
- Last updated
- Dec 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61240800 | WA | Primary |
Addresses
Primary practice location
5788 Gateway LN NE
Bremerton, WA 98311-3184
Mailing address
5788 Gateway LN NE
Bremerton, WA 98311-3184
Phone (360) 626-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Wheaton Way
Suite Fandg
Bremerton, WA 98310-4459
Phone (360) 621-2696
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61240800 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manette Clinic a Professional Service Corporation | Current | Accepting new patients | |
| Fern Lane Company, LLC | Current | Accepting new patients |
Locations
1100 Wheaton Way
Ste Fg
Bremerton, WA 98310
Phone (360) 621-2696
19500 10th Ave NE
Ste 100
Poulsbo, WA 98370
Phone (360) 598-7500
Interoperability endpoints
- elizabeth.price@71600699932676.direct.elationemr.com
- elizabeth.price@879604322861060.direct.elationemr.com
- elizabeth.price@909316258398212.direct.elationemr.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Bremerton, WA
- NPI 1013383215
-
dba Thrive Direct Health Care
- Primary Care Clinic/Center
- La Conner, WA
- NPI 1497255293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Silverdale, WA
- NPI 1114958725
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1649939083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5788 GATEWAY LN NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113184",
"telephone_number": "360-626-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 GATEWAY LN NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113184",
"telephone_number": "360-626-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ELIZABETH",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61240800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.