Individual provider Active NPI

Elvisa Kurtovic, ANP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1780011023
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2013036187 Issued in MO
Practice address
4921 Parkview PL
Div Im Bone and Mineral, Ste 5C
Saint Louis, MO 63110-1032
Phone
(314) 454-7775
Fax
(314) 996-3087
NPI assigned
Oct 1, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 2013036187 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Div Im Bone and Mineral, Ste 5C
Saint Louis, MO 63110-1032

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-7775

Other identifiers 1

IdentifierTypeStateIssuer
420009924MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140120000713 MO Practitioner - Nurse Practitioner 1951539998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4921 Parkview PL
Suite 5C
Saint Louis, MO 63110-1032
Phone (314) 454-7775

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013036187MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jun 2, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

10 Barnes West Dr
Ste 200
Saint Louis, MO 63141
Phone (314) 996-8670

4921 Parkview Pl
Fl 6
Saint Louis, MO 63110
Phone (256) 606-4529

4921 Parkview Pl
Ste 13A
Saint Louis, MO 63110
Phone (314) 333-4100

4921 Parkview Pl
Ste 5C
Saint Louis, MO 63110
Phone (314) 286-2635

4921 Parkview Pl
Ste 6B
Saint Louis, MO 63110
Phone (314) 362-3570

4921 Parkview Pl
Ste 6B6C
Saint Louis, MO 63110

5201 Mid America Plz
Ste 2300
Saint Louis, MO 63129
Phone (314) 996-8670

660 S Euclid Ave
#8057
Saint Louis, MO 63110
Phone (314) 362-3579

660 S Euclid Ave
#C
Saint Louis, MO 63110

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140

100 Entrance Way
Ste B
Saint Peters, MO 63376
Phone (636) 916-7140

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1780011023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-7775",
            "fax_number": "314-996-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV IM BONE AND MINERAL, STE 5C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-454-7775",
            "fax_number": "314-996-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTOVIC",
        "first_name": "ELVISA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2025-04-17",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013036187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420009924",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div IM Bone and Mineral, Ste 5C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.