NPIMap

Individual provider Active NPI

Elizabeth Louise Davis, FNP

  • Family Nurse Practitioner
  • Branson, MO
National Provider Identifier
1770156762
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020028492 Issued in MO
Practice address
448 State Highway 248 Ste 120
Branson, MO 65616-3725
Phone
(417) 337-5000
NPI assigned
Jul 19, 2021
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 2020028492 MO Primary

Addresses

Primary practice location

448 State Highway 248 Ste 120
Branson, MO 65616-3725

Mailing address

448 State Highway 248 Ste 120
Branson, MO 65616-3725
Phone (417) 337-5000

Other practice location 1

2001 S Oriole Ct
Ozark, MO 65721-7979
Phone (417) 771-7239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014002773 MO Practitioner - Nurse Practitioner 5698141653 Reassigns benefits to 2 organizations

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
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

448 State Hwy 248
Suite 120
Branson, MO 65616-3725
Phone (417) 337-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Oct 30, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 30, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Oct 30, 2022 Accepting new patients

Locations

448 State Highway 248
Ste 120
Branson, MO 65616
Phone (417) 337-5000

448 State Highway 248
Ste 140
Branson, MO 65616
Phone (417) 337-9808

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 841-0280

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 9

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1770156762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 STATE HIGHWAY 248 STE 120",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163725",
            "telephone_number": "417-337-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 STATE HIGHWAY 248 STE 120",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163725",
            "telephone_number": "417-337-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Oriole Ct",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217979",
            "country_code": "US",
            "telephone_number": "417-771-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020028492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.