Elizabeth H. Margle
Individual provider Active NPI Nurse Practitioner · Oak Ridge, TN
NPI 1902333909 · NPPES record last updated Aug 14, 2017
Key facts
- NPI
- 1902333909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 22913 (TN)
- Practice address
- 801 Oak Ridge Turnpike
Oak Ridge, TN 37830 - Phone
- (865) 483-3172
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group, PLLC
Practice addresses (Care Compare)
801 Oak Ridge Tpke
Oak Ridge, TN 37830-6916
Phone (865) 483-3172
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20171101001024 | TN | Practitioner - Nurse Practitioner | 0648546903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22913 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
9333 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 531-4600
850 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 483-3172
801 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-4088
Interoperability endpoints
- elizabeth.margle.1@20785.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22913 | TN | Yes |
Addresses
Primary practice location
801 Oak Ridge Turnpike
Oak Ridge, TN 37830
Mailing address
1225 E. Weisgarber Road
Suite 200
Knoxville, TN 37909
Phone (865) 584-4747
NPI Registry JSON
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1902333909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E. WEISGARBER ROAD",
"address_2": "SUITE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-584-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OAK RIDGE TURNPIKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-483-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGLE",
"first_name": "ELIZABETH",
"middle_name": "H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "22913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
- Hiteshwar Singh Mangat
- Jacquelyn Mantooth
- Chad Manuel
- David Henry Marcotte
- Sheila A Marczak
- Aathi Lakshmi Mariappan
- Mark H. Waugh, PHD, PC
- Paula Jane Marshall
- Charles J. Mascioli
- Tia Mashburn
All providers in Oak Ridge, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2017. 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.