ELISE AMANDA NYGREN (FNP) – Family Nurse Practitioner, NPI 1447083068

ELISE AMANDA NYGREN (FNP) is a healthcare provider. based in Blue grass, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F02241144 (IA). The NPI Number for ELISE AMANDA NYGREN (FNP) is 1447083068

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ELISE AMANDA NYGREN (FNP)
NPI
1447083068
Phone
(563) 770-0620
Address
564 CONOR CT
Enumeration Date
20 August 2024
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3092813600
Graduation Year
2023 (3 years ago)
PAC ID
5799215307
Group Practice PAC ID
7214841436
Professional Enrollment ID
I20250212001510
Address ID
IL612656867MO4322XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for ELISE AMANDA NYGREN (FNP)

  • 564 CONOR CT

    BLUE GRASS, IA 527269613

    Phone: (563) 770-0620

    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: 2025-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250212001510INurse PractitionerILTBD
I20251224001843INurse 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 52726)

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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: 7214841436View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
-IA
-IA
Nurse PractitionerIA
Physician AssistantAL
Internal Medicine, HospitalistNC
-IA
O B S T E T R I C S/ G Y N E C O L O G YGA
-IA
-IA

Reviews

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Frequently asked questions

Can I use this page to confirm ELISE AMANDA NYGREN (FNP)'s NPI?
Yes. ELISE AMANDA NYGREN (FNP) is listed with NPI 1447083068 in the public NPI dataset.
Is ELISE AMANDA NYGREN (FNP) listed as active for patients and plans?
The listing shows ELISE AMANDA NYGREN (FNP) as active in the NPI system.
What taxonomy line describes ELISE AMANDA NYGREN (FNP)?
For research purposes, treat ELISE AMANDA NYGREN (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ELISE AMANDA NYGREN (FNP)?
ELISE AMANDA NYGREN (FNP)'s geographic hint is Blue Grass, Iowa in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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