ELIZABETH PRUETT
NPI 1659100436
Nurse Practitioner - Family in San Diego, CA
About Elizabeth Pruett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH PRUETT (NPI 1659100436) is an individual family provider in San Diego, California, licensed in California (95030919) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 Pruett 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.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Pruett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
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 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
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 Pruett's NPI number?
The NPI number for Elizabeth Pruett is 1659100436. It was assigned to this individual provider in the NPPES registry on July 30, 2024.
Where is Elizabeth Pruett located?
Elizabeth Pruett practices at 555 Washington St, San Diego, CA 92103. The listed phone number is (619) 260-8300.
What is Elizabeth Pruett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Pruett enrolled in Medicare?
Yes. Elizabeth Pruett 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 organization bills Medicare for Elizabeth Pruett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Pruett reassigns Medicare benefits to Hom Medical Group Inc (La Jolla, CA). The 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 Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Pruett was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elizabeth Pruett · NPI 1659100436
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1659100436 (Entity type: Individual)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95030919 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 WASHINGTON ST, San Diego, CA 92103-2289
- **Phone:** (619) 260-8300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hom Medical Group Inc (NPI 1366575169, La Jolla, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659100436) · Data from the CMS NPPES public registry.