Elizabeth (Beth) M Preston, FNP
Individual provider Active NPI Family Medicine Physician · Newton, IA
NPI 1790721686 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1790721686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A-085449 (IA)
- Practice address
- 300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155 - Phone
- (641) 792-2112
- Fax
- (641) 792-8484
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frontline Dermatology LLC
Practice addresses (Care Compare)
1319 NW 32ND St
Ankeny, IA 50023-7973
Phone (515) 865-4291
Hospital & facility affiliations
- Mercyone Newton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100423000044 | IA | Practitioner - Nurse Practitioner | 3779610787 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-085449 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontline Dermatology LLC | Current |
Accepting new patients | |
| Newton Clinic PC | Family Medicine | Current |
Accepting new patients |
Locations
300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112
Interoperability endpoints
- https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A-085449 | IA | Yes |
Addresses
Primary practice location
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Mailing address
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone (641) 792-2112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790721686 | Medicaid | IA |
Other providers in Newton, IA
- Pathways Psychotherapy PLLC
- Christine A Pernetti
- Peters Home Care, Inc. Dba Home Instead 732
- Phoenix House
- Georgia Ann Plumb
- Brandon Paul Preuss
- Lynn Pritchard
- Progress Industries
- Progress Industries
- Progress Industries
All providers in Newton, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.