MS. ELIZABETH SUZANNE STRAIN – Nurse Practitioner, NPI 1609329572

MS. ELIZABETH SUZANNE STRAIN is a healthcare provider. based in Fort leonard wood, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 204014608 (IL). The NPI Number for MS. ELIZABETH SUZANNE STRAIN is 1609329572

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH SUZANNE STRAIN
NPI
1609329572
Phone
(573) 596-1680
Address
4430 MISSOURI AVE
Enumeration Date
27 July 2016
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736357141
Graduation Year
2016 (10 years ago)
PAC ID
2769778711
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20190111002814
Address ID
MO651015227JE1125XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for MS. ELIZABETH SUZANNE STRAIN

  • 4430 MISSOURI AVE

    FORT LEONARD WOOD, MO 654739098

    Phone: (573) 596-1680

    Type: Mailing

  • 2030, East Main Street, Galesburg, Knox County, Illinois, 61401, United States

    GALESBURG, IL 614015460

    Phone: (309) 343-3570

    Fax: (309) 343-3571

    Type: Mailing

  • 1125 Madison St

    Jefferson City, MO 651015227

    Phone: (573) 632-5000

    Fax: (573) 634-2033

    Type: Location

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: 2019-01-11

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
I20190111002814INurse PractitionerMOTBD

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 65473)

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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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Does MS. ELIZABETH SUZANNE STRAIN have a public NPI I can cite?
Public records show MS. ELIZABETH SUZANNE STRAIN under NPI 1609329572.
Is MS. ELIZABETH SUZANNE STRAIN's NPI status active today?
Active status means MS. ELIZABETH SUZANNE STRAIN's NPI record is not deactivated in the public file.
How should patients interpret MS. ELIZABETH SUZANNE STRAIN's specialty?
The extract shows Nurse Practitioner for MS. ELIZABETH SUZANNE STRAIN. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. ELIZABETH SUZANNE STRAIN?
MS. ELIZABETH SUZANNE STRAIN shows a connection to Fort Leonard Wood, Missouri in registry-derived data.
Who maintains MS. ELIZABETH SUZANNE STRAIN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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