Elizabeth Fanning, FNP-BC - Medicare Nurse Practitioner in Superior, CO

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Elizabeth Fanning, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Superior, Colorado. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Canon Professional Wellness Clinic Llc and her current practice location is 400 S Mccaslin Blvd, Superior, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 222-0648.

Elizabeth Fanning is licensed to practice in Colorado (license number APN.0994761) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699328120.

Contact Information

Elizabeth Fanning, FNP-BC
400 S Mccaslin Blvd,
Superior, CO 80027-9731
(720) 222-0648
Not Available

Map and Direction




Physician's Profile

Full NameElizabeth Fanning
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location400 S Mccaslin Blvd, Superior, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elizabeth Fanning graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1699328120
  • Provider Enumeration Date: 07/23/2019
  • Last Update Date: 05/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466782123
  • Enrollment ID: I20190923001601

Medical Identifiers

Medical identifiers for Elizabeth Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699328120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine APN.0994761-NP (Colorado)Secondary
363LF0000XNurse Practitioner - Family APN.0994761 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Corwin Med Ctr, Centura HealthPueblo, COHospital
Centura Health-st Thomas More HospitalCanon city, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canon Professional Wellness Clinic Llc14567088903

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Fanning allows following entities to bill medicare on her behalf.
Entity NameButton Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144269739
PECOS PAC ID: 0840225413
Enrollment ID: O20051003000288
Entity NamePeak Internal Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452364
PECOS PAC ID: 3678827672
Enrollment ID: O20181109001913
Entity NameCanon Professional Wellness Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780384560
PECOS PAC ID: 1456708890
Enrollment ID: O20231107002803

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Fanning is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Fanning, FNP-BC
400 S Mccaslin Blvd,
Superior, CO 80027-9731

Ph: (720) 222-0648		Elizabeth Fanning, FNP-BC
400 S Mccaslin Blvd,
Superior, CO 80027-9731

Ph: (720) 222-0648

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.