Individual provider Active NPI

Elizabeth Price, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1649939083
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61240800 Issued in WA
Practice address
5788 Gateway LN NE
Bremerton, WA 98311-3184
Phone
(360) 626-3220
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909002906 WA Practitioner - Nurse Practitioner 6901281047 Reassigns benefits to 2 organizations

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
Manette Clinic a Professional Service CorporationGroup PAC ID 3779884713, 6 clinicians

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

LicenseStateTypeSpecialty
AP61240800WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manette Clinic a Professional Service Corporation CurrentSince Jul 1, 2025 Accepting new patients
Fern Lane Company, LLC CurrentSince Jul 20, 2022 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

  • Direct secure messaging: elizabeth.price@71600699932676.direct.elationemr.com
  • Direct secure messaging: elizabeth.price@879604322861060.direct.elationemr.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.