Individual provider Active NPI

Elise Noelle Sterritt, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1851805295
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016923 Issued in IL
Practice address
142 Willow Glen CT
Henderson, NV 89074-0659
Phone
(779) 548-1418
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.016923 IL
Family Nurse Practitioner 363LF0000X 209016923 IL Primary

Addresses

Primary practice location

142 Willow Glen CT
Henderson, NV 89074-0659

Mailing address

142 Willow Glen CT
Henderson, NV 89074-0659
Phone (779) 548-1418

Other practice location 1

427 Willow Rd
Marengo, IL 60152-2235
Phone (779) 548-1418

Other practice location 2

3401 N Knox Ave
Chicago, IL 60641-3728
Phone (702) 820-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200616000104 NV Practitioner - Nurse Practitioner 9638431083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7488 W Sahara Ave
Las Vegas, NV 89117-2740
Phone (702) 820-2514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016923ILMDAcute Care Nurse Practitioner
209016923ILMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1851805295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WILLOW GLEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890740659",
            "telephone_number": "779-548-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WILLOW GLEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890740659",
            "telephone_number": "779-548-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "IL",
            "postal_code": "601522235",
            "country_code": "US",
            "telephone_number": "779-548-1418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Knox Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606413728",
            "country_code": "US",
            "telephone_number": "702-820-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERRITT",
        "first_name": "ELISE",
        "middle_name": "NOELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.016923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.