Elizabeth B. Nothern, PA-C
Individual provider Active NPI Physician Assistant · Chanute, KS
NPI 1992052625 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1992052625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1501535 (KS)
- Practice address
- 421 W Main St
Chanute, KS 66720-1607 - Phone
- (620) 431-7193
- Fax
- (620) 431-7741
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neosho Memorial Regional Medical Center
Practice addresses (Care Compare)
1409 W 7TH St
Nmrmc Surgery Clinic
Chanute, KS 66720-2550
Phone (620) 431-4000
1500 W 7TH St
Nmrmc Orthopedic Clinic
Chanute, KS 66720-2575
Phone (620) 432-5775
1501 W 7TH St
Chanute, KS 66720-2551
Phone (620) 433-3838
2522 W 21St St
Nmrmc Orizon Clinic
Chanute, KS 66720-6132
Phone (620) 431-4000
629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000
Hospital & facility affiliations
- Angels Care Home Health
- Nmrmc Home Health Agency
- Neosho Memorial Regional Medical Center
- Heritage Health Care Center
- Neosho Memorial Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120813000549 | KS | Practitioner - Physician Assistant | 2062668767 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002396 | IA | MD | Optometrist |
| 1501535 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Wellness Management LLC | Current | Accepting new patients | |
| Neosho Memorial Regional Medical Center | Current |
Accepting new patients | |
| Nmrmc Urology Clinic | Current |
Accepting new patients | |
| Neosho Memorial Regional Medical Center | Past |
Accepting new patients | |
| Heritage Health Care, LLC | Past | Accepting new patients | |
| Neosho Memorial Regional Medical Center | Past | Accepting new patients |
Locations
421 W Main St
Chanute, KS 66720
Phone (620) 431-7193
1501 W 7th St
Ste 2
Chanute, KS 66720
Phone (620) 432-5200
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
Interoperability endpoints
- elizabeth.nothern.1@24081.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002396 | IA | |
| Physician Assistant | 363A00000X | 1501535 | KS | Yes |
Addresses
Primary practice location
421 W Main St
Chanute, KS 66720-1607
Mailing address
PO Box 483
Chanute, KS 66720-0483
Phone (620) 431-7193
Other names
- Elizabeth B. Von
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | enothern@heartlandwellnessco.com | Direct |
Other providers in Chanute, KS
- Neosho Memorial Regional Medical Center
- Neosho Memorial Regional Medical Center
- Neosho Memorial Regional Medical Center
- Neosho Memorial Regional Medical Center
- Nmrmc Urology Clinic
- Brett D Olson
- Tosha Leann Oneal
- Panacea Dermatology, PA
- Panacea Family Medicine, PA
- Verdon W Parham
All providers in Chanute, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.