Individual provider Active NPI

Elisabeth Walker

  • Family Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1972850360
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21850 Issued in CA
Practice address
5821 Jameson CT
Carmichael, CA 95608-0890
Phone
(916) 486-0411
Fax
(916) 486-0525
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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 21850 CA Primary

Addresses

Primary practice location

5821 Jameson CT
Carmichael, CA 95608-0890

Mailing address

5821 Jameson CT
Carmichael, CA 95608-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200210000102 CA Practitioner - Nurse Practitioner 0941420905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocklin Family Practice and Sports MedicineGroup PAC ID 5395724777, 15 clinicians

Practice addresses (Care Compare)

3104 Sunset Blvd
Suite 2B
Rocklin, CA 95677-3093
Phone (916) 624-0300

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocklin Family Practice and Sports Medicine CurrentSince Jan 29, 2020 Accepting new patients

Locations

3104 Sunset Blvd
Ste 2B
Rocklin, CA 95677
Phone (916) 624-0300

Interoperability endpoints

  • Direct secure messaging: ewalker239773@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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 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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1972850360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080890",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.