Elevate Care Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELEVATE CARE CLINIC LLC

Practice address

503 W National Ave
Brazil, IN 47834-2502

Phone

(812) 251-4873

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlyn Nevill, FNP-CNPI 1740760784

Title

Owner

Phone

(812) 251-4873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlyn Nevill, FNP-C

  • Family Nurse Practitioner
  • Brazil, IN
  • NPI 1740760784
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Jayne Gabriel, FNP-C

  • Family Nurse Practitioner
  • Brazil, IN
  • NPI 1801776638
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1891497590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 N PRIVATE ROAD 220 E",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348354",
            "telephone_number": "812-251-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342502",
            "telephone_number": "812-251-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "NEVILL",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-251-4873",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Donathan, MD
• Dr Linda Colter LLC
• Drummer Dialysis LLC (Brazil Dialysis)
• Rhonda Earl, LMHC
• Elder's Journey Home Care of Wabash Valley Inc. (Elder's Journey Home Care)
• Anthony M Elmes, RPH
• Empowerme Medical Group, PC
• Austin England, DPT, PT, ATC, LAT
• Michele L Engle, M.S., O.T.R.
• Eyecare Specialists (Darla Heck Sacopulos OD PC)

• Primary Care Clinic/Center in Brazil, IN
• Providers in Brazil, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.