Individual provider Active NPI

Elizabeth Marie Bilsborough

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922734417
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1053560 Issued in TX
Practice address
1941 East Rd # 4358
Houston, TX 77054-6010
Phone
(713) 486-0500
Fax
(713) 383-1435
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 1053560 TX Primary

Addresses

Primary practice location

1941 East Rd # 4358
Houston, TX 77054-6010

Mailing address

6431 Fannin St
MSB 7.044
Houston, TX 77939-6308
Phone (713) 500-8935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221130003521 TX Practitioner - Nurse Practitioner 1456729144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1053560TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 22, 2023 Accepting new patients
Specialty Associates of West Houston PLLC CurrentSince Sep 1, 2020 Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince Nov 22, 2023 Accepting new patients

Locations

21212 Northwest Fwy
Ste 645A
Cypress, TX 77429
Phone (281) 894-5310

1941 East Rd
#4358
Houston, TX 77054
Phone (713) 486-0500

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#7044
Houston, TX 77030
Phone (713) 500-7100

6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

22999 Highway 59 N
Ste 405
Kingwood, TX 77339
Phone (281) 571-7508

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1922734417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 7.044",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "779396308",
            "telephone_number": "713-500-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD # 4358",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-0500",
            "fax_number": "713-383-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILSBOROUGH",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1053560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.