Individual provider Active NPI

Elizabeth A O'Neil, RN NP

  • Family Nurse Practitioner
  • West Lafayette, IN
National Provider Identifier
1740293455
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001686A Issued in IN
Practice address
502 N University St
Johnson Hall RM B5
West Lafayette, IN 47907-2069
Phone
(765) 494-6341
Fax
(765) 496-1022
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 71001686A IN Primary

Addresses

Primary practice location

502 N University St
Johnson Hall RM B5
West Lafayette, IN 47907-2069

Mailing address

502 N University St
Johnson Hall RM B5
West Lafayette, IN 47907-2069
Phone (765) 494-6341

Other identifiers 1

IdentifierTypeStateIssuer
200527500MedicaidIN

Other names 1

  • Elizabeth A Oneil Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230918001909 IN Practitioner - Nurse Practitioner 4284874959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

901 Prince William Rd
Suite a
Delphi, IN 46923-1759
Phone 76556430162002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Purdue University Current Accepting new patients
Trustees of Purdue University CurrentSince Aug 15, 2023 Accepting new patients
Trustees of Purdue University CurrentSince Aug 15, 2023 Accepting new patients
Trustees of Purdue University Past Accepting new patients

Locations

425 E 5th St
Ste B
Burlington, IN 46915
Phone (765) 566-5055

901 Prince William Rd
Ste A
Delphi, IN 46923
Phone (765) 494-3789

692 E Broadway St
Monon, IN 47959
Phone (800) 321-5043

715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789

Interoperability endpoints

  • Direct secure messaging: elizabeth.o.neil.1@29127.direct.athenahealth.com

Organizations & group practices 4

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1740293455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N UNIVERSITY ST",
            "address_2": "JOHNSON HALL RM B5",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072069",
            "telephone_number": "765-494-6341",
            "fax_number": "765-496-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N UNIVERSITY ST",
            "address_2": "JOHNSON HALL RM B5",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072069",
            "telephone_number": "765-494-6341",
            "fax_number": "765-496-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "RN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001686A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200527500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ONEIL",
            "middle_name": "A",
            "credential": "RN NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.