ELIZABETH RENSHAW (FNP) – Family Nurse Practitioner, NPI 1710530654

ELIZABETH RENSHAW (FNP) is a healthcare provider. based in Fairfax, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2019012515 (MO). The NPI Number for ELIZABETH RENSHAW (FNP) is 1710530654

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH RENSHAW (FNP)
NPI
1710530654
Phone
(660) 686-2211
Address
26136 US Highway 59
Enumeration Date
19 July 2019
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162718265
Graduation Year
2018 (8 years ago)
PAC ID
2365865375
Group Practice PAC ID
7113835174
Professional Enrollment ID
I20230404001408
Address ID
MO645064954SA2303XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for ELIZABETH RENSHAW (FNP)

  • 26136 US Highway 59

    Fairfax, MO 644469105

    Phone: (660) 686-2211

    Type: Location

  • 1115 N Belt Hwy

    Saint Joseph, MO 645062410

    Phone: (816) 271-7077

    Fax: (816) 671-4998

    Type: Location

  • 107, Fairfax Road, Harbor Green, Oyster Bay, Nassau County, New York, 11758, United States

    FAIRFAX, MO 644460107

    Phone: (660) 686-2211

    Type: Mailing

  • 59, Fairfax Drive, Suffolk County, New York, 11727, United States

    FAIRFAX, MO 644469105

    Phone: (660) 686-2211

    Type: Location

  • 1303 STATE ST

    MOUND CITY, MO 644701717

    Phone: (816) 307-8231

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Lilly USA, LLC ($41).

Total Amount

$122

General + Research + Ownership

Payments

6

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-04

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
I20230404001408INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7573$0
View full utilization report →

Insurance plans in this area (ZIP 64446)

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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: 7113835174View full group profile

Reviews

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Frequently asked questions

How do payers reference ELIZABETH RENSHAW (FNP)?
For ELIZABETH RENSHAW (FNP), use NPI 1710530654 as the unique 10-digit identifier.
Active or inactive — what applies to ELIZABETH RENSHAW (FNP)?
You should see ELIZABETH RENSHAW (FNP) as active in CMS-hosted NPPES data.
What expertise is attributed to ELIZABETH RENSHAW (FNP)?
ELIZABETH RENSHAW (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Missouri is ELIZABETH RENSHAW (FNP) registered?
Use Fairfax, Missouri as the headline location for ELIZABETH RENSHAW (FNP) here.
Does ELIZABETH RENSHAW (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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