Individual provider Active NPI

Elizabeth Anne Morrell, FNP-C

  • Family Nurse Practitioner
  • Endicott, NY
National Provider Identifier
1902528656
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350398 Issued in NY
Practice address
415 E Main St
Endicott, NY 13760-4925
Phone
(607) 785-2460
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 350398 NY Primary

Addresses

Primary practice location

415 E Main St
Endicott, NY 13760-4925

Mailing address

668 Old State Rd
Binghamton, NY 13904-2613
Phone (607) 237-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221129001649 NY Practitioner - Nurse Practitioner 0547638322 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Southern Tier Medical Care - Ny PC CurrentSince Nov 7, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

415 E Main St
Endicott, NY 13760
Phone (607) 785-2460

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

125 Victory Hwy
Painted Post, NY 14870
Phone (607) 240-2535

125 Victory Hwy
Painted Post, NY 14870

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1902528656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 OLD STATE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139042613",
            "telephone_number": "607-237-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604925",
            "telephone_number": "607-785-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.