Active NPI
Elizabeth Quinn Johnston, NP
- Family Nurse Practitioner
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2029382
- Practice address
- 21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704 - Phone
- (855) 979-5700
- Fax
- (855) 979-5701
- NPI assigned
- Jun 22, 2011
- Last updated
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2029382 | FL | Primary |
Addresses
Primary practice location
21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704
Mailing address
2675 Winkler Ave FL 2Floor
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y08LQ | Other | FL | FL BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, RI, VA, OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500
999 Vanderbilt Beach Rd
Suite 200
Naples, FL 34108-3512
Phone (480) 214-9052
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2029382 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Lake Spring Physician Services, LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Current | Accepting new patients | |
| Natalia Capote MD LLC | Past | Accepting new patients |
Locations
13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
1735 SW Health Pkwy
Ste 201
Naples, FL 34109
Phone (239) 249-7800
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
2315 Aaron St
Port Charlotte, FL 33952
Phone (941) 613-2222
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
200 Corporate Blvd
Lafayette, LA 70508
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ejohnston485310@direct.ynhh.org
- elizabeth.johnston@398008301912068.direct.elationemr.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Hospitalist Physician
- Salem, VA
- NPI 1568954287
-
- Case Management Agency
- Naples, FL
- NPI 1972964435
-
dba Grace at Home
- Public Health & General Preventive Medicine Physician
- Chicago, IL
- NPI 1578302584
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Multi-Specialty Clinic/Center
- Sarasota, FL
- NPI 1104680248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1689960288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2FLOOR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21297 OLEAN BLVD STE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "855-979-5700",
"fax_number": "855-979-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "ELIZABETH",
"middle_name": "QUINN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2029382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BC",
"identifier": "Y08LQ",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.