Elizabeth Gminski, DNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

836129 Issued in NV

Practice address

1050 Jabara Ave
Seymour Johnson a F B, NC 27531-2310

Phone

(919) 722-1802

Fax

(919) 722-4665

NPI assigned

Apr 13, 2016

Last updated

Jul 13, 2023By 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 HI, NV, FL3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Trident Healthcare LLC

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1518676329
  Medicare reassignment NPD
• Yang Medical Services, PLLC

  dba Doctoroo

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1538729322
  Medicare reassignment NPD
• Brevard TNT Holdings

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1841009461
  NPD

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1669836904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WHISNER ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275345487",
            "telephone_number": "605-359-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JABARA AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-1802",
            "fax_number": "919-722-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMINSKI",
        "first_name": "ELIZABETH",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "836129",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Jo Davis, RN
• Kelby Joseph Sage Durnin, IDMT
• Alan Mitchell Flower, D.O.
• David Layne Frederick Jr., IDMT
• Americo Nicola Gambella, D.D.S.
• Wilson Andrew Harris III, MS, RDN, CSSD, LDN
• Shannon Susan Hill, NP
• Taylor Holloway, DNP, FNP-C
• Stephen Brian Irvin, MD
• Christopher Gary Keeton

• Family Nurse Practitioner in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.