Individual provider Active NPI

Elizabeth A Mokrohisky, FNP-C

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1720195233
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201404019NP-PP Issued in OR
Practice address
520 Country Club Road
Eugene, OR 97401
Phone
(541) 683-5001
Fax
(541) 683-1422
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201404019NP-PP OR Primary
Nurse Practitioner 363L00000X APN001131 NV

Addresses

Primary practice location

520 Country Club Road
Eugene, OR 97401

Mailing address

520 Country Club Road
Eugene, OR 97401
Phone (541) 683-5001

Other identifiers 1

IdentifierTypeStateIssuer
500678482MedicaidOR

Other names 1

  • Elizabeth A Neuber Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20140905002040 OR Practitioner - Nurse Practitioner 9133153216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology Associates of Oregon P CGroup PAC ID 7214924406, 48 clinicians

Practice addresses (Care Compare)

520 Country Club Pkwy
Eugene, OR 97401-6043
Phone (541) 683-5001

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201404019NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Aug 22, 2014 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Aug 30, 2020 Accepting new patients
Oncology Associates of Oregon P C CurrentSince Sep 16, 2024 Accepting new patients
Oncology Associates of Oregon P C CurrentSince Sep 16, 2024 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Marquette University Past Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712

3355 Riverbend Dr
Ste 450
Springfield, OR 97477

Interoperability endpoints

  • Direct secure messaging: elizabeth.mokrohisky@wvci.ikm.direct-ci.com
  • Direct secure messaging: emokrohisky63041@direct.peacehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1720195233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKROHISKY",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201404019NP-PP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500678482",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NEUBER",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.