NPIMap

Organization Active NPI

Elixeum Health, LLC

Doing business as Elixeum Health

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1912504788
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ELIXEUM HEALTH, LLC
Doing business as
Elixeum Health
Practice address
3272 E Meadowview Dr
Gilbert, AZ 85298-4313
Phone
(480) 203-4365
NPI assigned
Oct 5, 2020
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Michael Berg, AGACNP-BCNPI 1598399677
Title
Owner
Phone
(480) 203-4365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nurse Practitioner 363L00000X Primary
Acute Care Nurse Practitioner 363LA2100X

Addresses

Primary practice location

3272 E Meadowview Dr
Gilbert, AZ 85298-4313

Mailing address

3272 E Meadowview Dr
Gilbert, AZ 85298-4313

Other names 1

  • Elixeum Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1912504788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 E MEADOWVIEW DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 E MEADOWVIEW DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984313",
            "telephone_number": "480-203-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIXEUM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-203-4365",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elixeum Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elixeum Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.