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ELIZABETH BROOKE MAIN FNP
NPI 1407510399
Nurse Practitioner in Hallsville, TX

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
804 W MAIN ST, HALLSVILLE, TX 75650(903) 374-5465 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2026, Mar 6, 2024, Oct 14, 2022 (3 updates tracked since 2022).

About Elizabeth Brooke Main Fnp NPPES

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

ELIZABETH BROOKE MAIN FNP (NPI 1407510399) is an individual nurse practitioner in Hallsville, Texas, licensed in Texas (1059117) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407510399
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH BROOKE MAINCredential: FNP
Location Address804 W MAIN STHallsville, TX 75650-5102
Mailing Address4279 Old Highway 135 SKilgore, TX 75662-7879 · (903) 374-5465
Phone(903) 374-5465
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 26, 2021
Last NPPES UpdateJanuary 31, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1407510399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1059117
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F09210916 (TX)
804 W MAIN ST, Hallsville, TX 75650
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Secondary Practice Locations 2

Location 13753 Earl Campbell PkwyTyler, TX 75701-1273 · Phone (903) 747-9552 · Fax (903) 747-9553
Location 21016 N Kilgore StKilgore, TX 75662-6054 · Phone (903) 522-4199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Brooke Main Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971993288
PECOS Enrollment IDI20211130002975
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Main reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut East Texas Urgent Care Centers, PLLC
74 mi
Urgent Care
301 E STATE HIGHWAY 243 STE 121
Canton, TX 75103
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1356974281 (903) 567-4692
Dcs Medical PA
121 mi
Urgent Care
1301 W PRINCETON DRIVE, SUITE 103
Princeton, TX 75407
  • Reassigned Medicare billing, Texas enrollment
  • 186 clinicians in this Medicare group
NPI 1285082768 (972) 597-9971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75650 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Main's NPI number?

The NPI number for Elizabeth Main is 1407510399. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Elizabeth Main located?

Elizabeth Main practices at 804 W Main St, Hallsville, TX 75650. The listed phone number is (903) 374-5465.

What is Elizabeth Main's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Main enrolled in Medicare?

Yes. Elizabeth Main is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Main's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Main reassigns Medicare benefits to 2 organizations: Ut East Texas Urgent Care Centers, PLLC (Canton, TX) and Dcs Medical PA (Princeton, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Main's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Main accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Elizabeth Main as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Main was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.