Active NPI
Elizabeth Longshore, NP
- Adult Health Nurse Practitioner
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN.0992558-NP
- Practice address
- 802 W Drake Rd Ste 101
Fort Collins, CO 80526-5567 - Phone
- (970) 482-0198
- Fax
- (970) 482-9148
- NPI assigned
- Sep 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0992558-NP | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0992558-NP | CO | Primary |
Addresses
Primary practice location
802 W Drake Rd Ste 101
Fort Collins, CO 80526-5567
Mailing address
802 W Drake Rd Ste 101
Fort Collins, CO 80526-5567
Phone (970) 482-0198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109000262 | CO | Practitioner - Nurse Practitioner | 3678852969 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142
2021 Battlecreek Dr
Unit a
Fort Collins, CO 80528-5120
Phone (970) 231-4008
Hospital & facility affiliations
- Poudre Valley Hospital
- Medical Center of the Rockies
- Pam Health Rehabilitation Hospital of Greeley
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.23 of 100
- Quality
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0992558-NP | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Colorado Hospitalists Professional LLC | Current | Accepting new patients |
Locations
802 W Drake Rd
Ste 101
Fort Collins, CO 80526
Phone (970) 221-2273
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
802 W Drake Rd
Fort Collins, CO 80526
Phone (970) 482-0198
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Fort Collins, CO
- NPI 1831315662
CO
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Greeley, CO
- NPI 1558059428
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1730637463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W DRAKE RD STE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265567",
"telephone_number": "970-482-0198",
"fax_number": "970-482-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W DRAKE RD STE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265567",
"telephone_number": "970-482-0198",
"fax_number": "970-482-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGSHORE",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-11",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0992558-NP",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "APN.0992558-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.