Individual provider Active NPI

Elizabeth Van Lith

  • Physician Assistant
  • Milbank, SD
National Provider Identifier
1992158760
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
803 E Milbank Ave
Milbank, SD 57252-1413
Phone
(605) 432-4587
NPI assigned
Jul 18, 2016
Last updated
Dec 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

803 E Milbank Ave
Milbank, SD 57252-1413

Mailing address

15136 481St Ave
Milbank, SD 57252-6025

Other names 1

  • Elizabeth Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20161007001313 SD Practitioner - Physician Assistant 0749578607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

301 Flynn Dr
Milbank, SD 57252-1508
Phone (605) 432-4587

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 19, 2016 Accepting new patients
Avera McKennan CurrentSince Sep 19, 2016 Accepting new patients
Sanford Health Network CurrentSince Feb 11, 2017 Accepting new patients
Sanford Health Network CurrentSince Feb 11, 2017 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

301 Flynn Dr
Milbank, SD 57252
Phone (605) 432-4587

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: elizabeth.vanlith@avera.sdhealthlink.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1992158760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15136 481ST AVE",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572526025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E MILBANK AVE",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521413",
            "telephone_number": "605-432-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LITH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milbank, SD

Sources for this page

Verify at the official NPI Registry.