Individual provider Active NPI

Elizabeth Ann Lepper, APN

  • Family Nurse Practitioner
  • Auburn, IN
National Provider Identifier
1720450026
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012695A Issued in IN
Practice address
5419 County Road 427
Auburn, IN 46706-9504
Phone
(260) 333-5105
Fax
(260) 333-0036
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 209013297 IL
Family Nurse Practitioner 363LF0000X 71012695A IN Primary

Addresses

Primary practice location

5419 County Road 427
Auburn, IN 46706-9504

Mailing address

5419 County Road 427
Auburn, IN 46706-9504
Phone (260) 333-5105

Other names 1

  • Elizabeth Ann Kane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160505000277 IL Practitioner - Nurse Practitioner 5799084281 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013297ILMDFamily Nurse Practitioner
71012695AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale LLC CurrentSince Aug 7, 2022 Accepting new patients
Allendale Academy LLC CurrentSince Aug 7, 2022 Accepting new patients
Michael D. Tarantino, M.D. S.C. CurrentSince Mar 5, 2016 Accepting new patients

Locations

9128 N Lindbergh Dr
Peoria, IL 61615
Phone (309) 323-6068

427 W Northmoor Rd
Peoria, IL 61614
Phone (309) 692-5337

5419 County Road 427
Auburn, IN 46706
Phone (260) 333-5105

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1720450026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069504",
            "telephone_number": "260-333-5105",
            "fax_number": "260-333-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069504",
            "telephone_number": "260-333-5105",
            "fax_number": "260-333-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012695A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KANE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.