Individual provider Active NPI

Elisabeth Ann Throop, FNP-C

  • Family Nurse Practitioner
  • Marengo, IN
National Provider Identifier
1770219461
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012800A Issued in IN
Practice address
5604 E White Oak LN
Marengo, IN 47140-8413
Phone
(812) 365-3221
Fax
(812) 365-9502
NPI assigned
Jul 26, 2022
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 71012800A IN Primary

Addresses

Primary practice location

5604 E White Oak LN
Marengo, IN 47140-8413

Mailing address

23796 Odell Rd
Saint Croix, IN 47576-9036
Phone (812) 843-3458

Other practice location 1

402 19th St
Tell City, IN 47586-1110
Phone (812) 547-3427

Other identifiers 1

IdentifierTypeStateIssuer
300074848MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220901002274 IN Practitioner - Nurse Practitioner 9133503659 Reassigns benefits to 2 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

Practice addresses (Care Compare)

420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-3944

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012800AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Community Health Care, Inc CurrentSince Jun 30, 2023 Accepting new patients
Southern Indiana Community Health Care, Inc Current Accepting new patients
Southern Indiana Community Health Care, Inc CurrentSince Jun 30, 2023 Accepting new patients
Southern Indiana Community Health Care, Inc Past Accepting new patients
Southern Indiana Community Health Care, Inc Past Accepting new patients

Locations

629 Lincoln Ave
Bedford, IN 47421
Phone (812) 277-1702

307 S Indiana Ave
English, IN 47118
Phone (812) 338-2924

5604 E White Oak Ln
Marengo, IN 47140
Phone (812) 365-3221

2759 State Road 37
Mitchell, IN 47446
Phone (812) 849-6420

420 W Longest St
Paoli, IN 47454
Phone (812) 723-3944

1201 N Jim Day Rd
Salem, IN 47167
Phone (812) 723-3944

Interoperability endpoints

  • Direct secure messaging: elisabeththroop@sichc.allscriptsdirect.net

Organizations & group practices 6

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 4

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1770219461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23796 ODELL RD",
            "city": "SAINT CROIX",
            "state": "IN",
            "postal_code": "475769036",
            "telephone_number": "812-843-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 E WHITE OAK LN",
            "city": "MARENGO",
            "state": "IN",
            "postal_code": "471408413",
            "telephone_number": "812-365-3221",
            "fax_number": "812-365-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 19th St",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475861110",
            "country_code": "US",
            "telephone_number": "812-547-3427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THROOP",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012800A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300074848",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, IN

Sources for this page

Verify at the official NPI Registry.