Sarah L Elliot, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wales, WI
NPI 1679947006 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1679947006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7556-33 (WI)
- Practice address
- 200 W Summit Ave Ste 290
Wales, WI 53183-9427 - Phone
- (844) 726-3926
- Fax
- (844) 726-3926
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135512-30 | WI | MD | Registered Nurse |
| CNP151175 | ME | MD | Family Nurse Practitioner |
| 7556-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegiance Medical, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 135512-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | CNP151175 | ME | |
| Family Nurse Practitioner | 363LF0000X | 7556-33 | WI | Yes |
Addresses
Primary practice location
200 W Summit Ave Ste 290
Wales, WI 53183-9427
Mailing address
150 S Huntington Ave
VA Boston Healthcare System (C&P/11)
Boston, MA 02130-4817
Phone (857) 364-5569
Other practice location 1
150 S Huntington Ave
VA Boston Healthcare System (C&P/11)
Boston, MA 02130-4817
Phone (857) 364-5569
Other providers in Wales, WI
- Christopher Cole
- Kathryn Coury Connor
- Margaret Davies
- Lauren Dolenshek
- Alissa Effland
- Dawn Engelhardt
- Footworks Orthotics, Inc.
- Emily Marie Ghanem
- Neilana Golz
- Melissa Haakenson
All providers in Wales, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.