Individual provider Active NPI

Elizabeth T Payne, NP

  • Nurse Practitioner
  • Big Flats, NY
National Provider Identifier
1750891941
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
308435 Issued in NY
Practice address
455 Maple St Ste 3
Big Flats, NY 14814-9702
Phone
(607) 321-0265
Fax
(607) 321-0269
NPI assigned
Oct 3, 2017
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 308435 NY Primary

Addresses

Primary practice location

455 Maple St Ste 3
Big Flats, NY 14814-9702

Mailing address

33 Lewis Rd
2ND FL
Binghamton, NY 13905
Phone (607) 770-0025

Other identifiers 1

IdentifierTypeStateIssuer
308435OtherNYNYS LICENSE

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
I20171109001037 NY Practitioner - Nurse Practitioner 8224394135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

1336 Cedar St
Elmira, NY 14904-2951
Phone (607) 734-3929

31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100

720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Mar 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 2, 2023 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 2, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Mar 1, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

455 Maple St
Ste 3
Big Flats, NY 14814
Phone (607) 321-0265

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: ejohnson44401@direct-guthrie.org
  • Direct secure messaging: elizabeth.payne@arn.eclinicaldirectplus.com

Organizations & group practices 7

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 3

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1750891941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAPLE ST STE 3",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149702",
            "telephone_number": "607-321-0265",
            "fax_number": "607-321-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "308435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "308435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Flats, NY

Sources for this page

Verify at the official NPI Registry.