NPIMap

Individual provider Active NPI

Elizabeth A Hutson, MD

  • Gynecology Physician
  • Sparks, NV
National Provider Identifier
1659462208
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9829 Issued in NV
Practice address
1441 Pullman Dr
Sparks, NV 89434-7921
Phone
(775) 432-1343
Fax
(775) 324-0858
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 9829 NV
Gynecology Physician 207VG0400X 9829 NV Primary

Addresses

Primary practice location

1441 Pullman Dr
Sparks, NV 89434-7921

Mailing address

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

Other identifiers 2

IdentifierTypeStateIssuer
P01166079OtherNVRAILROAD MEDICARE
DT6227OtherNVRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000889 NV Practitioner - Obstetrics/Gynecology 6406800499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a. Hutson M.D. LTDGroup PAC ID 8123107935, 8 clinicians

Practice addresses (Care Compare)

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9829NVMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth a. Hutson M.D. LTD Gynecology CurrentSince Oct 1, 2007 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Pamela E. Netuschil M.D. LTD Gynecology Past Accepting new patients

Locations

343 Elm St
Ste 306
Reno, NV 89503
Phone (775) 324-4477

6580 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 432-1343

1441 Pullman Dr
Sparks, NV 89434
Phone (775) 351-2600

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1659462208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NV",
            "license": "9829",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "9829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01166079",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DT6227",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.