LIAM KENNETH ELLIOTT FNP
NPI 1700669611
Nurse Practitioner - Primary Care in Santa Rosa, CA

Q: What is Liam Elliott's NPI number?

The NPI number for Liam Elliott is 1700669611. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Liam Elliott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Liam Elliott was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Liam Kenneth Elliott Fnp NPPES

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

LIAM KENNETH ELLIOTT FNP (NPI 1700669611) is an individual primary care provider in Santa Rosa, California, licensed in California (95025942) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700669611

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameLIAM KENNETH ELLIOTTCredential: FNP

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address47 Lansdale AveSan Anselmo, CA 94960-2243 · (707) 483-4894

Phone(707) 396-5151

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 15, 2023

NPPES CertifiedAugust 15, 2023

✔ NPI 1700669611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95025942

1300 N DUTTON AVE, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liam Kenneth Elliott 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 ID3971042714

PECOS Enrollment IDI20240826001176

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 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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.

MRS. ERIN O. LIIV LCSW

Social Worker (Clinical)