Active NPI
Elsa K Raymond, NP
- Family Nurse Practitioner
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209014542
- Practice address
- 916 Talon Dr
Suite 102
O Fallon, IL 62269-1848 - Phone
- (618) 628-8211
- Fax
- (618) 628-0883
- NPI assigned
- Aug 12, 2016
- Last updated
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014542 | IL | Primary |
Addresses
Primary practice location
916 Talon Dr
Suite 102
O Fallon, IL 62269-1848
Mailing address
916 Talon Dr
Suite 102
O Fallon, IL 62269-1848
Phone (618) 628-8211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2023 Vadalabene Dr
Suite 300
Maryville, IL 62062-5846
Phone (618) 288-6722
Hospital & facility affiliations
- Community Hospital of Staunton
- Anderson Hospital
- Gateway Regional Medical Center
- HSHS St Elizabeth's Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.58 of 100
- Quality
- 91.56
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 74.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Consultants LLC | Current | Accepting new patients | |
| Interventional Pain Consultants LLC | Current | Accepting new patients |
Locations
3 Professional Dr
Ste B
Alton, IL 62002
Phone (618) 219-0855
2023 Vadalabene Dr
Ste 300
Maryville, IL 62062
Phone (618) 288-6722
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Alton, IL
- NPI 1225522063
-
- Interventional Pain Medicine Physician
- Maryville, IL
- NPI 1568078087
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
dba Edwardsville Health Center
- Clinic/Center
- Edwardsville, IL
- NPI 1760182307
Hospital
-
dba Gateway Imaging: Waterloo
- Clinic/Center
- Waterloo, IL
- NPI 1770283301
Hospital
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1972057420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 TALON DR",
"address_2": "SUITE 102",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691848",
"telephone_number": "618-628-8211",
"fax_number": "618-628-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 TALON DR",
"address_2": "SUITE 102",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691848",
"telephone_number": "618-628-8211",
"fax_number": "618-628-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "ELSA",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209014542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.