Individual provider Active NPI

Elizabeth Paige Fink, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1740808724
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007096 Issued in FL
Practice address
720 W Oak St Ste 303
Kissimmee, FL 34741-4992
Phone
(727) 772-4629
NPI assigned
Jul 7, 2020
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 11007096 FL Primary

Addresses

Primary practice location

720 W Oak St Ste 303
Kissimmee, FL 34741-4992

Mailing address

720 W Oak St Ste 303
Kissimmee, FL 34741-4992
Phone (727) 772-4629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220329002159 NY Practitioner - Nurse Practitioner 0547656662 Reassigns benefits to 1 organization
I20240730001969 FL Practitioner - Nurse Practitioner 0547656662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

720 W Oak St
Suite 303
Kissimmee, FL 34741-4992
Phone (407) 343-8101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346109NYMDLicensed Practical Nurse
11007096FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Mar 1, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince Mar 1, 2022 Accepting new patients
Florida Trauma Services, LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

720 W Oak St
Ste 303
Kissimmee, FL 34741
Phone (407) 343-8101

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: elizabeth.fink@hca4.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1740808724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W OAK ST STE 303",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414992",
            "telephone_number": "727-772-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST STE 303",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414992",
            "telephone_number": "727-772-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ELIZABETH",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.