Individual provider Active NPI

Elizabeth Marcum, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1962214882
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1009675 Issued in TX
Practice address
12881 N Ih 35
Live Oak, TX 78233-2966
Phone
(210) 742-6555
Fax
(224) 623-0079
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1009675 TX
Family Nurse Practitioner 363LF0000X 1009675 TX Primary

Addresses

Primary practice location

12881 N Ih 35
Live Oak, TX 78233-2966

Mailing address

12881 N Ih 35
Live Oak, TX 78233-2966
Phone (210) 742-6555

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
I20250327003930 TX Practitioner - Nurse Practitioner 5597288761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

17766 Verde Pkwy
Suite 210
Selma, TX 78154-2226
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1009675TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Mar 19, 2025 Accepting new patients
Heal Well Primary Care PC PastSince Mar 26, 2023 Accepting new patients
Complete Care Partners LLC Family Medicine PastSince Feb 2, 2025 Accepting new patients

Locations

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

1923 Culebra Rd
San Antonio, TX 78201

5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020

3710 Roosevelt Ave
San Antonio, TX 78214

5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201

17766 Verde Pkwy
Ste 210
Selma, TX 78154

2009 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-4425

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1962214882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555",
            "fax_number": "224-623-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1009675",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.