Individual provider Active NPI

Elizabeth Hartz, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1932879350
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
215947 Issued in AR
Practice address
4201 S Mulberry St Ste a
Pine Bluff, AR 71603-7002
Phone
(870) 541-7684
Fax
(870) 541-7668
NPI assigned
Sep 16, 2021
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 215947 AR
Nurse Practitioner 363L00000X 215947 AR Primary

Addresses

Primary practice location

4201 S Mulberry St Ste a
Pine Bluff, AR 71603-7002

Mailing address

PO Box 2650
Pine Bluff, AR 71613-2650
Phone (870) 541-7211

Other practice location 1

4747 Dusty Lake Dr Ste 101
Pine Bluff, AR 71603-9057
Phone (870) 536-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20211015001373 AR Practitioner - Nurse Practitioner 9234537622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, IncGroup PAC ID 8123927431, shared by 9 NPIs, 80 clinicians

Practice addresses (Care Compare)

1601 W 40TH Ave
Suite 301C
Pine Bluff, AR 71603-6069
Phone (870) 541-6060

4201 S Mulberry St
Suite a
Pine Bluff, AR 71603-7002
Phone (870) 536-6600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 2022 Accepting new patients
Paul W Davis MD PA CurrentSince Oct 4, 2021 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 2022 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

1609 W 40th Ave
Ste 202
Pine Bluff, AR 71603
Phone (501) 541-0668

4201 S Mulberry St
Ste A
Pine Bluff, AR 71603
Phone (870) 536-6600

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1601 W 40th Ave
Ste 301C
Pine Bluff, AR 71603
Phone (870) 541-6060

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

4747 Dusty Lake Dr
Ste 101
Pine Bluff, AR 71603
Phone (870) 536-6600

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1703 N Buerkle St
Ste 5
Stuttgart, AR 72160
Phone (870) 541-6060

7400 Dollarway Rd
Ste A
White Hall, AR 71602
Phone (870) 247-8900

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.

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1932879350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132650",
            "telephone_number": "870-541-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S MULBERRY ST STE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037002",
            "telephone_number": "870-541-7684",
            "fax_number": "870-541-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Dusty Lake Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716039057",
            "country_code": "US",
            "telephone_number": "870-536-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "ELIZABETH",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215947",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "215947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.