Individual provider Active NPI

Elizabeth C Armstrong, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1780033431
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9713-33 Issued in WI
Practice address
2810 Crossroads Dr Ste 4000
Madison, WI 53718
Phone
(855) 300-9893
Fax
(855) 300-9893
NPI assigned
Jun 3, 2016
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9713-33 WI
Nurse Practitioner 363L00000X 174010-30 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9713-33 WI Primary
Registered Nurse 163W00000X 174010-30 WI
Psychiatric/Mental Health Registered Nurse 163WP0808X 174010-30 WI

Addresses

Primary practice location

2810 Crossroads Dr Ste 4000
Madison, WI 53718

Mailing address

883 Chandler LN
Sun Prairie, WI 53590-4442
Phone (608) 443-6645

Other practice location 1

123 Shato Ln
Monona, WI 53716-3795
Phone (815) 238-3028

Other practice location 2

1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2500
Phone (262) 260-9000

Other identifiers 3

IdentifierTypeStateIssuer
100126024MedicaidWI
100094421MedicaidWI
100095159MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200528000763 WI Practitioner - Nurse Practitioner 6507287620

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2810 Crossroads Dr
Suite 4000
Madison, WI 53718-8014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
174010-30WIMDRegistered Nurse
9713-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Mentality LLC Psychiatric/Mental Health CurrentSince Nov 3, 2020 Accepting new patients
Wilson, Leigh & Associates LLC Multi-Specialty PastSince Jun 16, 2024 Accepting new patients

Locations

2810 Crossroads Dr
Ste 4000
Madison, WI 53718
Phone (608) 747-7878

Organizations & group practices 2

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1780033431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 CHANDLER LN",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904442",
            "telephone_number": "608-443-6645",
            "fax_number": "855-300-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CROSSROADS DR STE 4000",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "855-300-9893",
            "fax_number": "855-300-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Shato Ln",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537163795",
            "country_code": "US",
            "telephone_number": "815-238-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Cecelia Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530722500",
            "country_code": "US",
            "telephone_number": "262-260-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9713-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "174010-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "9713-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "174010-30",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "174010-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126024",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094421",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095159",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.