Individual provider Active NPI

Elizabeth Marie Le, CRNP

  • Family Nurse Practitioner
  • Montgomery, PA
National Provider Identifier
1790482479
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027015 Issued in PA
Practice address
45 Park Dr
Montgomery, PA 17752-8533
Phone
(570) 546-4062
NPI assigned
Feb 13, 2023
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027015 PA Primary
Nurse Practitioner 363L00000X SP027015 PA

Addresses

Primary practice location

45 Park Dr
Montgomery, PA 17752-8533

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (888) 647-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230314000114 PA Practitioner - Nurse Practitioner 2365816428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027015PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Nurse Practitioner Current Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Apr 1, 2023 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Aug 18, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Apr 1, 2023 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

45 Park Dr
#405
Montgomery, PA 17752
Phone (570) 546-4062

10 Shady Ln
Ste 101
Muncy, PA 17756
Phone (570) 546-4059

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1790482479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "888-647-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PARK DR",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177528533",
            "telephone_number": "570-546-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027015",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, PA

Sources for this page

Verify at the official NPI Registry.