Active NPI
Elizabeth Rauch, APRN
- Adult Health Nurse Practitioner
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9208823
- Practice address
- 1215 S 25TH St
Fort Pierce, FL 34947-4702 - Phone
- (772) 468-5925
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9208823 | FL | Primary |
Addresses
Primary practice location
1215 S 25TH St
Fort Pierce, FL 34947-4702
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000
Other practice location 1
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ERauch@conviva.eclinicaldirectplus.com | ||
| Direct Messaging Address | elizabeth.rauch@conviva.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9208823 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Single Specialty | Current | Accepting new patients |
| Central Florida Health Care, Inc | Current | Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
47 5th St NW
Winter Haven, FL 33881
Interoperability endpoints
- erauch@conviva.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1831232669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1831684430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262051",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S 25TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474702",
"telephone_number": "772-468-5925"
}
],
"practiceLocations": [
{
"address_1": "950 County Road 17A W",
"address_purpose": "LOCATION",
"city": "Avon Park",
"state": "FL",
"postal_code": "33825",
"country_code": "US",
"telephone_number": "863-452-3000",
"fax_number": "863-452-3077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAUCH",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9208823",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ERauch@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1215 S 25th St",
"city": "Fort Pierce",
"state": "FL",
"country_code": "US",
"postal_code": "349474702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.rauch@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1215 S 25th St",
"city": "Fort Pierce",
"state": "FL",
"country_code": "US",
"postal_code": "349474702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.