Elizabeth Dutton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

812 N 22ND St
Blair, NE 68008-1128

Phone

(402) 426-4611

Fax

(402) 426-4642

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Otte Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Community Hospital Corporation 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819

  NE

  Medicare reassignment Care Compare group
• Methodist Fremont Health

  • Internal Medicine Physician
  • Fremont, NE
  • NPI 1235618216

  NE

  Medicare reassignment NPD
• Memorial Community Hospital Corporation

  • Rural Health Clinic/Center
  • Fort Calhoun, NE
  • NPI 1417015207
  Care Compare group
• Memorial Community Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Blair, NE
  • NPI 1548391709
  Care Compare group
• Memorial Community Hospital Corporation

  • Rural Health Clinic/Center
  • Blair, NE
  • NPI 1922166453
  Care Compare group
• Memorial Community Hospital Corporation

  • Rural Health Clinic/Center
  • Tekamah, NE
  • NPI 1952487589
  Care Compare group
• Memorial Community Hospital Corporation

  • Clinic/Center
  • Blair, NE
  • NPI 1285767236
  NPD
• Memorial Community Hospital Corporation

  • Clinic/Center
  • Tekamah, NE
  • NPI 1437281623
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1780161109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-4611",
            "fax_number": "402-426-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-4611",
            "fax_number": "402-426-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OTTE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darbie A Donner-Johnson
• Amy Douglas, LMHP
• Dr Faye C Jones DC PC
• Joshua Dunn
• Thomas G Dunn
• Amanda Duxbury, M.D.
• April Early
• Daniele Eckstrom
• Melody Edinger
• Abigail Margaret Ellis

• All providers in Blair, NE
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.