ELIZABETH ANN NUTTY (APRN) – Family Nurse Practitioner, NPI 1194696583

ELIZABETH ANN NUTTY (APRN) is a healthcare provider. based in Council bluffs, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A187049 (IA). The NPI Number for ELIZABETH ANN NUTTY (APRN) is 1194696583

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANN NUTTY (APRN)
NPI
1194696583
Phone
(712) 396-4117
Address
933 E PIERCE ST
Enumeration Date
17 September 2025
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7123966111
Graduation Year
2025 (1 year ago)
PAC ID
7416437900
Group Practice PAC ID
9537064837
Professional Enrollment ID
I20260213003379
Address ID
IA515034626CO933XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for ELIZABETH ANN NUTTY (APRN)

  • 933 E PIERCE ST

    COUNCIL BLUFFS, IA 515034626

    Phone: (712) 396-4117

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260213003379INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537064837View full group profile
NameSpecialtyState
P A T H O L O G YNE
P A T H O L O G YNE
Nurse PractitionerOH
P A T H O L O G YNE
Certified Registered Nurse Anesthetist (Crna)IA
-IA
P A T H O L O G YNE
P A T H O L O G YNE
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the registry number for ELIZABETH ANN NUTTY (APRN)?
The registry entry for ELIZABETH ANN NUTTY (APRN) shows NPI 1194696583.
Should I treat ELIZABETH ANN NUTTY (APRN) as an active provider?
Patients and plans typically see ELIZABETH ANN NUTTY (APRN) as active in the national extract.
What services align with ELIZABETH ANN NUTTY (APRN)'s listing?
ELIZABETH ANN NUTTY (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ELIZABETH ANN NUTTY (APRN) tied to Council Bluffs, Iowa?
If you are local to Council Bluffs, Iowa, ELIZABETH ANN NUTTY (APRN) may be relevant to your search.
Why is information missing for ELIZABETH ANN NUTTY (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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