ELIZABETH BLACK SHORTSLEEVE (NP-C) – Family Nurse Practitioner, NPI 1700169711

ELIZABETH BLACK SHORTSLEEVE (NP-C) is a healthcare provider. based in Medfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. NPP37637 (RI). The NPI Number for ELIZABETH BLACK SHORTSLEEVE (NP-C) is 1700169711

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BLACK SHORTSLEEVE (NP-C)
NPI
1700169711
Phone
(401) 258-2551
Address
279 NORTH ST
Enumeration Date
26 September 2011
Last Update Date
7 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783544611
Graduation Year
2011 (15 years ago)
PAC ID
3173755402
Group Practice PAC ID
1153604079
Professional Enrollment ID
I20160304001643
Address ID
MA019702100SA55XXXAVEX310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ELIZABETH BLACK SHORTSLEEVE (NP-C)

  • 279 NORTH ST

    MEDFIELD, MA 020521211

    Phone: (401) 258-2551

    Fax: (855) 643-5020

    Type: Location

  • 475 KILVERT ST

    WARWICK, RI 028861379

    Phone: (401) 258-2551

    Fax: (855) 643-5020

    Type: Mailing

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: 2016-03-04

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
I20160304001643INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,568346$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes407254$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes327118$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi283231$0
99316Nursing facility discharge management, more than 30 minutes175171$0
View full utilization report →

Insurance plans in this area (ZIP 02052)

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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: 1153604079View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Clinical Social WorkerMA
Internal MedicineNJ
Nurse PractitionerMA
Registered Dietitian Or Nutrition ProfessionalMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineNH

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH BLACK SHORTSLEEVE (NP-C) for billing?
Administrative and clinical systems typically use NPI 1700169711 for ELIZABETH BLACK SHORTSLEEVE (NP-C).
Does the public listing show ELIZABETH BLACK SHORTSLEEVE (NP-C) as active?
ELIZABETH BLACK SHORTSLEEVE (NP-C)'s NPI record reflects an active status in NPPES.
What does the directory say ELIZABETH BLACK SHORTSLEEVE (NP-C) does?
Insurance directories may phrase it differently, but here ELIZABETH BLACK SHORTSLEEVE (NP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ELIZABETH BLACK SHORTSLEEVE (NP-C) in Medfield, Massachusetts?
For routing, start with Medfield, Massachusetts for ELIZABETH BLACK SHORTSLEEVE (NP-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.