Individual provider Active NPI

Elaine Diane Briggs, DNP,APRN, FNP-BC

  • Family Nurse Practitioner
  • Rolla, MO
National Provider Identifier
1700105673
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010014013 Issued in MO
Practice address
10895 Greenlefe Dr
Rolla, MO 65401-7403
Phone
(573) 368-1861
NPI assigned
May 18, 2010
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 2010014013 MO Primary

Addresses

Primary practice location

10895 Greenlefe Dr
Rolla, MO 65401-7403

Mailing address

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (877) 257-0637

Other practice location 1

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (877) 257-0637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MI, IL, TX, FL, PA, OH, DC, NY, CA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20101104000750 MO Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 4 organizations
I20210721000956 MI Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20210804003309 IL Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20210813000560 TX Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20210911000176 FL Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20220505001376 PA Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20221027003212 OH Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20221110001939 DC Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20221125000374 NY Practitioner - Nurse Practitioner 1456545326 Reassigns benefits to 1 organization
I20230224001855 CA Practitioner - Nurse Practitioner 1456545326

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

Oldsmar, FL 34677
Phone (877) 257-0637

Powell, OH 43065
Phone (877) 257-0637

Rolla, MO 65401
Phone (877) 257-0637

10304 Eaton Place
Suite 100 1011
Fairfax, VA 22030-2203
Phone (888) 202-9960

1350 Ave of the Americas
FL 2 1003
New York, NY 10019-4702
Phone (888) 202-9960

1500 Chestnut St
Suite 1659
Philadelphia, PA 19102-2737
Phone (888) 202-9960

1755 Park St
Suite 200
Naperville, IL 60563-8404
Phone (888) 202-9960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2010014013MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC CurrentSince May 1, 2012 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. CurrentSince Jan 1, 2011 Accepting new patients
South Central Missouri Community Health Center CurrentSince Feb 27, 2014 Accepting new patients
South Central Missouri Community Health Center CurrentSince Feb 27, 2014 Accepting new patients
Mdwatch Ca, PC CurrentSince Feb 7, 2023 Accepting new patients
Care Talk Health FL PA CurrentSince Feb 1, 2024 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients

Locations

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

1081 E 18th St
Rolla, MO 65401
Phone (573) 426-2407

165 Park Dr
Saint Robert, MO 65584
Phone (573) 433-3559

751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343

Interoperability endpoints

  • Direct secure messaging: elaine.briggs@115443077021700.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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1700105673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "877-257-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10895 GREENLEFE DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654017403",
            "telephone_number": "573-368-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13280 Evening Creek Dr S Ste 225",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921284664",
            "country_code": "US",
            "telephone_number": "877-257-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "ELAINE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DNP,APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010014013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.