Individual provider Active NPI

Elizabeth Nelson

  • Family Nurse Practitioner
  • Ossining, NY
National Provider Identifier
1679152359
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346940-01 Issued in NY
Practice address
240D S Highland Ave
Ossining, NY 10562-6102
Phone
(914) 502-0881
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 F346940-01 NY Primary

Addresses

Primary practice location

240D S Highland Ave
Ossining, NY 10562-6102

Mailing address

787 E 185TH St Apt 1a
Bronx, NY 10460-1067
Phone (914) 409-5596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241126000626 NY Practitioner - Nurse Practitioner 5294260329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians
Allied Healthcare Physician PLLCGroup PAC ID 8224079744, 16 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

444 E Boston Post Rd
Suite 201
Mamaroneck, NY 10543-3704
Phone (914) 834-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F346940-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Group, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Pani Family Medicine LLC CurrentSince Apr 11, 2021 Accepting new patients
Allied Healthcare Physician PLLC CurrentSince Sep 20, 2024 Accepting new patients
Phyllis Mandel MD PLLC PastSince Sep 20, 2024 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

340 City Island Ave
Bronx, NY 10464
Phone (718) 885-0333

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

400 Westage Business Ctr Dr
Ste 105
Fishkill, NY 12524

444 E Boston Post Rd
Ste 201
Mamaroneck, NY 10543
Phone (914) 381-2995

150 Lockwood Ave
Ste 16
New Rochelle, NY 10801
Phone (914) 235-2352

240 S Highland Ave
#D
Ossining, NY 10562
Phone (732) 523-5102

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1679152359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 E 185TH ST APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601067",
            "telephone_number": "914-409-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240D S HIGHLAND AVE",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105626102",
            "telephone_number": "914-502-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346940-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

Verify at the official NPI Registry.