Individual provider Active NPI

Elizabeth Carol McGowan, MSN, PHN, RN, FNP

  • Family Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1740382589
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13822 Issued in CA
Practice address
1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880
Phone
(760) 864-4163
Fax
(760) 864-4166
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 488533 CA
Gastroenterology Registered Nurse 163WG0100X 488533 CA
Family Nurse Practitioner 363LF0000X 13822 CA Primary

Addresses

Primary practice location

1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880

Mailing address

3975 Jackson St
206
Riverside, CA 92503-3901
Phone (951) 353-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040211000492 CA Practitioner - Nurse Practitioner 8325932262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homan a Zadeh MD MPH IncGroup PAC ID 8426189507, 11 clinicians

Practice addresses (Care Compare)

1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880
Phone (760) 864-4163

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
56.38
Improvement activities
40
Cost
82.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Homan a. Zadeh, M.D., M.P.H., Inc. CurrentSince May 15, 2015 Accepting new patients

Locations

1330 N Indian Canyon Dr
Ste F
Palm Springs, CA 92262
Phone (760) 327-9402

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1740382589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "206",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-353-2211",
            "fax_number": "951-353-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "address_2": "SUITE F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-864-4163",
            "fax_number": "760-864-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ELIZABETH",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MSN, PHN, RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "488533",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "CA",
            "license": "488533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.