Individual provider Active NPI

Elizabeth Newbury, APNP

  • Family Nurse Practitioner
  • Kewaunee, WI
National Provider Identifier
1972087187
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8718-33 Issued in WI
Practice address
1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone
(920) 388-0144
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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 8718-33 WI Primary

Addresses

Primary practice location

1020 Marquette Dr
Kewaunee, WI 54216-1782

Mailing address

1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone (920) 496-4700

Other names 1

  • Elizabeth Chaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20181106001122 WI Practitioner - Nurse Practitioner 5698028884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone (920) 496-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8718-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Oct 1, 2018 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Oct 1, 2018 Accepting new patients
Prevea Clinic, Inc. CurrentSince Oct 1, 2018 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Oct 1, 2018 Accepting new patients
Prevea Clinic, Inc. CurrentSince Oct 1, 2018 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Family CurrentSince Oct 1, 2018 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Past Accepting new patients

Locations

1686 Eisenhower Rd
De Pere, WI 54115
Phone (920) 405-1493

1601 Lawrence Dr
Ste 100
De Pere, WI 54115
Phone (920) 426-4700

3860 Monroe Rd
De Pere, WI 54115
Phone (920) 272-1200

1727 Shawano Ave
Green Bay, WI 54303
Phone (920) 431-1810

102 N Washington St
Green Bay, WI 54301

1715 Dousman St
Green Bay, WI 54303

1727 Shawano Ave
Ste 201
Green Bay, WI 54303
Phone (920) 496-8877

2461 Holmgren Way
Green Bay, WI 54304
Phone (920) 272-3326

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

3021 Voyager Dr
Green Bay, WI 54311
Phone (920) 431-1810

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

2502 S Ashland Ave
Green Bay, WI 54304
Phone (920) 496-4750

2793 Lineville Rd
Howard, WI 54313

1020 Marquette Dr
Kewaunee, WI 54216
Phone (920) 388-0144

101 School Creek Trl
Luxemburg, WI 54217
Phone (414) 845-9001

4810 Expo Dr
Manitowoc, WI 54220
Phone (920) 717-0800

1409 Cleveland Ave
Marinette, WI 54143
Phone (715) 732-0832

620 Smith Ave
Oconto, WI 54153
Phone (920) 834-4110

825 Walton Dr
Plymouth, WI 53073
Phone (920) 451-7304

940 S Saint Augustine St
Pulaski, WI 54162
Phone (920) 272-1611

958 Foote St
Seymour, WI 54165
Phone (920) 833-7796

1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: enewbury36834@ewd.direct.hshs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1972087187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARQUETTE DR",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161782",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MARQUETTE DR",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161782",
            "telephone_number": "920-388-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "ELIZABETH",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8718-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CHANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kewaunee, WI

Sources for this page

Verify at the official NPI Registry.