Elizabeth Anne Frost, ANP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

277.002142 Issued in IL

Practice address

1604 Eastport Plaza Dr
Collinsville, IL 62234-6133

Phone

(618) 346-1111

Fax

(616) 346-7777

NPI assigned

Sep 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Virginia School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  IL

  Medicare reassignment Care Compare group
• Unity Hospice of Greater St Louis LLC

  • Community Based Hospice Care Agency
  • Collinsville, IL
  • NPI 1245319367
  Medicare reassignment NPD
• Unity Hospice GSL, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1114220043
  Medicare reassignment NPD
• Altea Medical Illinois PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago Heights, IL
  • NPI 1447039227
  Medicare reassignment
• DME Edge LLC

  • Durable Medical Equipment & Medical Supplies
  • O Fallon, IL
  • NPI 1285064329
  NPD
• Unity Hospice GSL, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Saint Louis, MO
  • NPI 1063191658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1992287379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 EASTPORT PLAZA DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346133",
            "telephone_number": "618-346-1111",
            "fax_number": "618-346-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 EASTPORT PLAZA DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346133",
            "telephone_number": "618-346-1111",
            "fax_number": "616-346-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Talon Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691848",
            "country_code": "US",
            "telephone_number": "618-628-8211 x1100",
            "fax_number": "618-628-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "21404",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2021004787",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209018006",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "277.002142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRACTICE AUTHORITY APRN CONTROL SUBSTANCE",
            "identifier": "377.002066",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "209.018006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRACTICE AUTHORITY LICENSE",
            "identifier": "277.002142",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "2021004787",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "21404",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jayne Fornero, D.D.S.
• Anthony Webster Fourdyce, DC
• Fox Med-Equip Service Corp
• Charles L Friedman, MD
• Adam Fritzgerald, DMD
• Fundamental Behavioral Health
• Sarah Elizabeth Gafford, LCSW
• Shelby F Garvey
• Gateway Anesthesia
• Gateway Dental Group of Illinois LLC

• Acute Care Nurse Practitioner in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Acute Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.

Verify at the official NPI Registry.