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ELIZABETH A DEHAVEN FNP-BC
NPI 1164806592
Nurse Practitioner - Family in Fredericktown, MO

Active since July 15, 2015PECOS Enrolled
101 KINGSBURY BLVD, FREDERICKTOWN, MO 63645(573) 561-1555(573) 783-5951 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth A Dehaven Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A DEHAVEN FNP-BC (NPI 1164806592) is an individual family provider in Fredericktown, Missouri, licensed in Missouri (2015021530) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164806592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH A DEHAVENCredential: FNP-BC
Location Address101 KINGSBURY BLVDFredericktown, MO 63645-7959
Mailing Address101 Kingsbury BlvdFredericktown, MO 63645-7959 · (573) 561-1555 · Fax (573) 783-5951
Phone(573) 561-1555
Fax(573) 783-5951
Sole ProprietorNo
Enumeration DateJuly 15, 2015
Last NPPES UpdateApril 4, 2019
✔ NPI 1164806592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2015021530
101 KINGSBURY BLVD, Fredericktown, MO 63645
Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth A Dalton Fnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth A Dehaven Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims27 services$18.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.24 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers13 claims13 services$56.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers45 claims45 services$108.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$38.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRADEWINDS PALLIATIVE CARE LLC.
Family Medicine
101 KINGSBURY BLVD
FREDERICKTOWN, MO 63645
Madison County (573) 783-7625
DISCOVER HOME CARE
Home Health
101 KINGSBURY BLVD
FREDERICKTOWN, MO 63645
Madison County (573) 747-5885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Dehaven's NPI number?

The NPI number for Elizabeth Dehaven is 1164806592. It was assigned to this individual provider in the NPPES registry on July 15, 2015. The provider is also known as Elizabeth A Dalton Fnp-Bc.

Where is Elizabeth Dehaven located?

Elizabeth Dehaven practices at 101 Kingsbury Blvd, Fredericktown, MO 63645. The listed phone number is (573) 561-1555.

What is Elizabeth Dehaven's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Dehaven enrolled in Medicare?

Yes. Elizabeth Dehaven is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Dehaven was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.