Individual provider Active NPI

Elishia Ann Christians, FNP

  • Family Nurse Practitioner
  • Tracy, MN
National Provider Identifier
1760150569
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8489 Issued in MN
Practice address
249 5TH St E
Tracy, MN 56175-1536
Phone
(507) 629-8300
NPI assigned
Sep 6, 2021
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 8489 MN Primary

Addresses

Primary practice location

249 5TH St E
Tracy, MN 56175-1536

Mailing address

2126 16TH St
Fulda, MN 56131-4435

Other practice location 1

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20211220002365 MN Practitioner - Nurse Practitioner 3678964038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-8900

249 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400

251 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400

308 8TH St N
Mountain Lake, MN 56159-1568
Phone (507) 427-3332

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-1150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Jun 8, 2024 Accepting new patients
Sanford Health Network CurrentSince Jun 8, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients

Locations

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

Organizations & group practices 5

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 7

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1760150569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 16TH ST",
            "city": "FULDA",
            "state": "MN",
            "postal_code": "561314435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 5TH ST E",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751536",
            "telephone_number": "507-629-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Bell Ave",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "MN",
            "postal_code": "561839669",
            "country_code": "US",
            "telephone_number": "507-274-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANS",
        "first_name": "ELISHIA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, MN

Sources for this page

Verify at the official NPI Registry.