Elisabeth Anne Barlow, CNP
Individual provider Active NPI Nurse Practitioner · Fargo, ND
NPI 1912306341 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1912306341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R40921 (ND)
- Practice address
- 3000 32ND Ave S
Fargo, ND 58103-6132 - Phone
- (701) 364-8000
- Fax
- (701) 364-8078
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Innovis Health LLC
First Care Medical Services
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
400 Governor St
Oklee, MN 56742-4227
Phone (218) 796-4525
Hospital & facility affiliations
- Essentia Health
- Essentia Health Fosston
- Essentia Health St Marys - Detroit Lakes
- Sanford Medical Center Fargo
- CHI Mercy Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- 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 |
|---|---|---|---|---|
| I20150505001699 | ND | Practitioner - Nurse Practitioner | 0345569836 | Reassigns benefits to 1 organization |
| I20220310001631 | MN | Practitioner - Nurse Practitioner | 0345569836 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8737 | MN | MD | Speech-Language Pathologist |
| 111675 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Services | Current | Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health, LLC | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients |
Locations
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111675 | NE | |
| Nurse Practitioner | 363L00000X | 8737 | MN | |
| Nurse Practitioner | 363L00000X | R40921 | ND | Yes |
Addresses
Primary practice location
3000 32ND Ave S
Fargo, ND 58103-6132
Mailing address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461985 | Medicaid | ND |
Other providers in Fargo, ND
- Ladonna Bannach
- Katayoon Baradaran Ebrahimi
- Cami Barber
- Brenda M Barfield
- Scott Barglof
- Mykell M Barnacle
- Jasmine Hyasmine Barnes
- Luwayne Frances Barnes
- Staci Barnes
- Bethany Joy Barnett
All providers in Fargo, ND · 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 Feb 25, 2022. 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.