Elizabeth M Sillers, FNP
Individual provider Active NPI Family Nurse Practitioner · Langdon, ND
NPI 1891732293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891732293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R26936 (ND)
- Practice address
- 901 2ND St
Langdon, ND 58249-2407 - Phone
- (701) 256-6120
- Fax
- (701) 256-6156
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cavalier County Memorial Hospital Association
Practice addresses (Care Compare)
901 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6120
909 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6100
Hospital & facility affiliations
- Hia Hospice
- Cavalier County Memorial Hospital Association
- Altru Hospital
- Sanford Medical Center Fargo
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100212000117 | ND | Practitioner - Nurse Practitioner | 4486798576 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R26936 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cavalier County Memorial Hospital Association | Current |
Accepting new patients | |
| Cavalier County Memorial Hospital Association | Past | Accepting new patients |
Locations
901 2nd St
Langdon, ND 58249
Phone (701) 256-6100
909 2nd St
Langdon, ND 58249
Phone (701) 256-6100
301 5th St
Walhalla, ND 58282
Phone (701) 549-2711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R26936 | ND | Yes |
Addresses
Primary practice location
901 2ND St
Langdon, ND 58249-2407
Mailing address
901 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19696 | Medicaid | ND |
Other names
- Elizabeth M Larson
Other providers in Langdon, ND
- Emeka S Okwudili
- Suresh K Patel
- Linella Pistol
- Richard H Eklof OD PC
- Hanna Marie Schneider
- Valerie Ann Swenson
- Jessica Waslaski
- Megin Doris Wilhelmi
- Melissa Wyatt
- Anita Zavalney
All providers in Langdon, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.