Individual provider Active NPI

Elise Catherine Pilger, AGNP-C

  • Nurse Practitioner
  • Boonville, MO
National Provider Identifier
1902390180
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018021112 Issued in MO
Practice address
1417 Bingham Rd
Boonville, MO 65233-2229
Phone
(660) 882-8018
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018021112 MO Primary

Addresses

Primary practice location

1417 Bingham Rd
Boonville, MO 65233-2229

Mailing address

1742 W Woodie Proctor Rd
Columbia, MO 65203-8886
Phone (573) 424-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180711000999 MO Practitioner - Nurse Practitioner 8426304106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Care, Inc.Group PAC ID 4688630718, 4 clinicians

Practice addresses (Care Compare)

1417 Bingham Rd
Boonville, MO 65233-2229
Phone (660) 882-8018

3207 W Truman Blvd
Suite a
Jefferson City, MO 65109-0892
Phone (573) 636-5115

Hospital & facility affiliations

  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018021112MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Care, Inc. CurrentSince Sep 7, 2023 Accepting new patients
Elise Welsh DNP, LLC Nurse Practitioner CurrentSince Oct 24, 2022 Accepting new patients

Locations

1417 Bingham Rd
Boonville, MO 65233
Phone (660) 882-8018

3207 W Truman Blvd
Ste A
Jefferson Cty, MO 65109
Phone (573) 298-6855

3207 W Truman Blvd
Jefferson Cty, MO 65109
Phone (573) 635-2495

Interoperability endpoints

  • Direct secure messaging: pilger.elise@cmhal-mo.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1902390180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 W WOODIE PROCTOR RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038886",
            "telephone_number": "573-424-2421",
            "fax_number": "660-882-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BINGHAM RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332229",
            "telephone_number": "660-882-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGER",
        "first_name": "ELISE",
        "middle_name": "CATHERINE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018021112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

Verify at the official NPI Registry.