Individual provider Active NPI

Elizabeth Allen, FNP

  • Family Nurse Practitioner
  • Unionville, MO
National Provider Identifier
1871039917
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2006022044 Issued in MO
Practice address
107 S 16TH St
Unionville, MO 63565-1624
Phone
(660) 947-4191
Fax
(660) 947-4091
NPI assigned
Jan 12, 2017
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2006022044 MO Primary

Addresses

Primary practice location

107 S 16TH St
Unionville, MO 63565-1624

Mailing address

107 S 16TH St
Unionville, MO 63565-1624
Phone (660) 947-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170215000113 MO Practitioner - Nurse Practitioner 8022391143 Reassigns benefits to 4 organizations
I20181226001984 IA Practitioner - Nurse Practitioner 8022391143 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006022044MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Putnam County Memorial Hospital CurrentSince Feb 20, 2017 Accepting new patients
Decatur County Hospital CurrentSince Jul 15, 2019 Accepting new patients
Macon County Samaritan Hospital CurrentSince Oct 2, 2018 Accepting new patients
Putnam County Memorial Hospital Current Accepting new patients
Putnam County Memorial Hospital CurrentSince Feb 20, 2017 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Decatur County Hospital Past Accepting new patients

Locations

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

1926 Oak St
Unionville, MO 63565
Phone (660) 785-1834

Interoperability endpoints

  • Direct secure messaging: eallen653114@direct.unitypoint.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/putnamm-2b5c1bdb

Organizations & group practices 9

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1871039917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-4191",
            "fax_number": "660-947-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-4191",
            "fax_number": "660-947-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006022044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, MO

Sources for this page

Verify at the official NPI Registry.