Individual provider Active NPI

Elizabeth Elwell

  • Family Nurse Practitioner
  • Warrensburg, MO
National Provider Identifier
1932614039
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017034800 Issued in MO
Practice address
407 Burkarth Rd Ste 201
Warrensburg, MO 64093-3101
Phone
(660) 747-5558
NPI assigned
Dec 11, 2017
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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 2017034800 MO Primary

Addresses

Primary practice location

407 Burkarth Rd Ste 201
Warrensburg, MO 64093-3101

Mailing address

407 Burkarth Rd Ste 201
Warrensburg, MO 64093-3101
Phone (660) 747-5558

Other practice location 1

601 E 14th St
Sedalia, MO 65301-5972
Phone (660) 829-7744

Other practice location 2

100 S Tebo St
Windsor, MO 65360-1161
Phone (660) 647-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180418000355 MO Practitioner - Nurse Practitioner 1658634050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1602 N 2ND St
Golden Valley Medical Clinton
Clinton, MO 64735-1192
Phone (660) 890-8023

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017034800MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
Western Missouri Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Western Missouri Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince May 6, 2019 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince May 6, 2019 Accepting new patients
Golden Valley Memorial Hospital District Past Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751

600 E Allen St
Ste A
Knob Noster, MO 65336
Phone (660) 563-5555

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 201
Warrensburg, MO 64093
Phone (660) 201-2228

407 E Russell Ave
#C
Warrensburg, MO 64093
Phone (660) 747-5114

513 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7751

100 S Tebo St
Windsor, MO 65360
Phone (660) 647-2134

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1932614039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BURKARTH RD STE 201",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BURKARTH RD STE 201",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653015972",
            "country_code": "US",
            "telephone_number": "660-829-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Tebo St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "MO",
            "postal_code": "653601161",
            "country_code": "US",
            "telephone_number": "660-647-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017034800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.