Active NPI
Lonny David Elson, NP
- Primary Care Nurse Practitioner
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 293605
- Practice address
- 1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996 - Phone
- (928) 266-1530
- Fax
- (928) 438-6637
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 293605 | AZ | Primary |
Addresses
Primary practice location
1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996
Mailing address
1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996
Phone (928) 266-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1016 W University Ave
Suite 206
Flagstaff, AZ 86001-2996
Phone (928) 266-1530
Hospital & facility affiliations
- Flagstaff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293605 | AZ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Pasternacki Family Healthcare | Current | Accepting new patients | |
| Lonny Elson Family Healthcare | Current | Accepting new patients |
Locations
1016 W University Ave
Ste 206
Flagstaff, AZ 86001
Phone (928) 226-1530
1016 W University Ave
Ste 101206
Flagstaff, AZ 86001
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.
-
- Primary Care Clinic/Center
- Flagstaff, AZ
- NPI 1104502418
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1972965051
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1912192048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 W UNIVERSITY AVE STE 206",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860012996",
"telephone_number": "928-266-1530",
"fax_number": "928-438-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 W UNIVERSITY AVE STE 206",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860012996",
"telephone_number": "928-266-1530",
"fax_number": "928-438-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSON",
"first_name": "LONNY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "293605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.