Individual provider Active NPI

Elizabeth Marie Thaxton, NP

  • Family Nurse Practitioner
  • Vermilion, OH
National Provider Identifier
1780245274
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023490 Issued in OH
Practice address
1607 State Rd Ste 6
Vermilion, OH 44089-9142
Phone
(440) 967-8713
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 APRN.CNP.023490 OH Primary

Addresses

Primary practice location

1607 State Rd Ste 6
Vermilion, OH 44089-9142

Mailing address

578 N Leavitt Rd
Amherst, OH 44001-1131

Other names 1

  • Elizabeth Marie Barrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190731003988 OH Practitioner - Nurse Practitioner 5294061073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

1607 State Rd
Suite 6
Vermilion, OH 44089-9142
Phone (440) 934-8344

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023490OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 22, 2019 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Jul 22, 2019 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 22, 2019 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jul 22, 2019 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

5940 Oak Point Rd
Lorain, OH 44053
Phone (440) 988-3705

224 W Lorain St
Ste 100
Oberlin, OH 44074
Phone (440) 222-4970

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: ebarrett650153@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1780245274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD STE 6",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BARRETT",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.