Elisha Ann Payne, CNP
Individual provider Active NPI Family Nurse Practitioner · South Point, OH
NPI 1689237166 · NPPES record last updated Apr 19, 2019
Key facts
- NPI
- 1689237166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.024518 (OH)
- Practice address
- 7743 County Road 1
South Point, OH 45680-7822 - Phone
- (740) 894-3287
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Wound Care and Health Services LLC
Extended Care Specialists, Inc
Practice addresses (Care Compare)
1050 Clinton St
Ironton, OH 45638-2876
Phone (304) 241-2234
3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081
Hospital & facility affiliations
- St Marys Medical Center
- King'S Daughters' Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190516002342 | OH | Practitioner - Nurse Practitioner | 0749523678 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Occ Med Physicals Acad&Surveillancesolutionsllc | Current |
Accepting new patients | |
| Guardian Biologics LLC | Current |
Accepting new patients | |
| Eventus Ecs - Ohio LLC | Family | Current |
Accepting new patients |
| Regional Healthcare Group LLC | Current |
Accepting new patients | |
| Eventus Ecs, Inc | Current |
Accepting new patients | |
| Extended Care Specialists, Inc | Family | Current |
Accepting new patients |
| Apex Wound Care and Health Services LLC | Current |
Accepting new patients | |
| Wound Care Consultants LLC | Family | Current |
Accepting new patients |
Locations
325 Ellington Blvd
Gaithersburg, MD 20878
Phone (240) 428-0465
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
1050 Clinton St
Ironton, OH 45638
Phone (301) 651-3980
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
7743 County Road 1
South Point, OH 45680
Phone (304) 736-6262
1405 Earl L Core Rd
Morgantown, WV 26505
Phone (216) 223-8083
2206 22nd St
Nitro, WV 25143
Phone (304) 755-1571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024518 | OH | Yes |
Addresses
Primary practice location
7743 County Road 1
South Point, OH 45680-7822
Mailing address
858 County Road 7a
Ironton, OH 45638-7817
Phone (740) 307-5227
Other providers in South Point, OH
- Seth Parsons
- Bonnie Renee Patrick
- Shelley L Patrick
- Gregory Patterson
- Courtney Payne
- Peak Medical Associates LLC
- Brittaney Perkins
- Amber Nicole Perry
- Heidi Perry
- Nipuni Madara Pfeiffer
All providers in South Point, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.