Individual provider Active NPI

Elizabeth C Elmore, CRNP

  • Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1831588748
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-135496 Issued in AL
Practice address
1310 14TH Ave SE
Decatur, AL 35601-4347
Phone
(253) 353-5151
Fax
(253) 351-9915
NPI assigned
Jan 15, 2015
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-135496 AL Primary

Addresses

Primary practice location

1310 14TH Ave SE
Decatur, AL 35601-4347

Mailing address

26642 Main St
Ardmore, AL 35739-8273
Phone (256) 423-8744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150427000568 AL Practitioner - Nurse Practitioner 6800115783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

1958 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2298

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.37 of 100Reported as group
Quality
45.96
Promoting interoperability
100
Improvement activities
40
Cost
75.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-135496ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRMC Medical Group LLC Current Accepting new patients
CRMC Medical Group LLC CurrentSince Jan 10, 2024 Accepting new patients

Locations

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1958 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2090

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.

Hospital & facility affiliations 1

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1831588748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26642 MAIN ST",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357398273",
            "telephone_number": "256-423-8744",
            "fax_number": "256-216-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014347",
            "telephone_number": "253-353-5151",
            "fax_number": "253-351-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-135496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.