Individual provider Active NPI

Elizabeth Mizro, MS, ANP

  • Adult Health Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1750496352
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300466-1 Issued in NY
Practice address
17 Lansing St
Auburn Memorial Hospital / Hospitalists Dept
Auburn, NY 13021-1983
Phone
(315) 255-7011
Fax
(315) 255-7099
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300466-1 NY Primary

Addresses

Primary practice location

17 Lansing St
Auburn Memorial Hospital / Hospitalists Dept
Auburn, NY 13021-1983

Mailing address

17 Lansing St
Hospitalists Dept
Auburn, NY 13021-1983
Phone (315) 255-7438

Other identifiers 1

IdentifierTypeStateIssuer
01954118MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051230000549 NY Practitioner - Nurse Practitioner 6305868548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.05 of 100Reported as group
Quality
97.55
Improvement activities
40
Cost
76.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
300466NYMDLicensed Practical Nurse
F300466-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Mar 1, 2021 Accepting new patients
Auburn Memorial Medical Services, PC Past Accepting new patients

Locations

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1750496352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "address_2": "HOSPITALISTS DEPT",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7438",
            "fax_number": "315-255-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "address_2": "AUBURN MEMORIAL HOSPITAL / HOSPITALISTS DEPT",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7011",
            "fax_number": "315-255-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRO",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300466-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01954118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.