Active NPI 1609167170 Individual Practitioner Female Practitioner

Elizabeth A Hughes , APRN

Nurse Practitioner • Florence, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elizabeth Hughes, APRN is a certified Nurse Practitioner practicing in Florence, KY. With approximately 16 years of clinical experience since completing medical education in 2010, Elizabeth Hughes delivers high-quality medical care to the local community at 4900 HOUSTON RD.

Elizabeth Hughes is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection, furosemide, up to 20 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4900 Houston Rd

Florence, KY 410424824

Telephone 8592124625

Fax 8592124638

Associated Practice Facility / Clinic

🏢 St Elizabeth Medical Center, Inc Facility NPI 1154365062

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Florence, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.6 yrs vs City Avg

City Avg: 12.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

50 Specialists

Practicing in Florence, KY (1865 Statewide)

Telehealth Adoption Rate

24.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (16 Years) 16 Yrs

Florence Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$271.85	$85.20
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$135.00	$44.62
36415 Insertion of needle into vein for collection of blood sample	12	12	$9.25	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	181	$305.00	$102.94
36415 Insertion of needle into vein for collection of blood sample	186	121	$9.00	$2.96
J1940 Injection, furosemide, up to 20 mg	68	14	$6.00	$0.60
93000 Routine ekg using at least 12 leads including interpretation and report	45	40	$72.00	$11.36
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	28	19	$155.00	$30.34
94726 Determination of lung volumes using plethysmography	15	14	$144.00	$42.18
93042 Interpretation and report of electrical activity of heart using 1-3 leads	11	11	$21.00	$5.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	220	$305.00	$104.47
36415 Insertion of needle into vein for collection of blood sample	194	120	$9.00	$3.00
J1940 Injection, furosemide, up to 20 mg	79	15	$6.00	$0.61
93000 Routine ekg using at least 12 leads including interpretation and report	34	31	$72.00	$11.62
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	34	25	$155.00	$31.87
93042 Interpretation and report of electrical activity of heart using 1-3 leads	32	30	$21.00	$5.78
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	31	29	$36.00	$10.19
94726 Determination of lung volumes using plethysmography	30	29	$144.00	$42.32
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$207.00	$73.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	206	$305.44	$86.47
36415 Insertion of needle into vein for collection of blood sample	227	139	$9.00	$2.98
J1940 Injection, furosemide, up to 20 mg	90	23	$6.00	$0.65
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	52	49	$36.00	$9.97
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	35	28	$155.00	$29.89
94726 Determination of lung volumes using plethysmography	32	30	$144.00	$40.48
93000 Routine ekg using at least 12 leads including interpretation and report	23	19	$72.00	$13.64
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$207.50	$60.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	187	$305.00	$86.72
36415 Insertion of needle into vein for collection of blood sample	271	166	$9.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	168	119	$207.00	$59.09
94726 Determination of lung volumes using plethysmography	101	89	$144.00	$41.54
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	75	75	$36.00	$9.96
J1940 Injection, furosemide, up to 20 mg	49	15	$6.00	$0.78
85014 Red blood cell concentration measurement	18	18	$9.00	$2.58
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	17	15	$155.00	$30.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	319	176	$205.00	$57.68
36415 Insertion of needle into vein for collection of blood sample	304	178	$9.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	119	$305.00	$85.39
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	99	96	$36.00	$9.96
94726 Determination of lung volumes using plethysmography	32	29	$143.00	$42.24
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	15	14	$153.00	$35.33
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$72.00	$13.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	358	195	$205.00	$57.64
36415 Insertion of needle into vein for collection of blood sample	348	193	$9.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	72	$305.00	$85.23
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	68	67	$36.00	$10.00

Medical Specialties & State Licenses

CMS Verified: 2023-02-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3006901

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License KY 3006901

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100161670 (KY)

Commercial Insurance / Payer ID Anthem - Cts

000000715515 (KY)

Commercial Insurance / Payer ID Passport/passport Adv - Cts

50033303 (KY)

Commercial Insurance / Payer ID Siho - Cts

126125 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

4900 Houston Rd, Florence, KY 410424824

Phone: 8592124625

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Miranda Miller , NP

Nurse Practitioner

NPI 1043744063

Nurse Practitioner

Brittany Diehl , RD

Dietitian, Registered

NPI 1063930790

Registered Dietitian

Patricia Kowalski , RD, LD

Dietitian, Registered

NPI 1083045702

Registered Dietitian, Licensed Dietitian

Grace Bailey , RD, LD

Dietitian, Registered

NPI 1083373047

Registered Dietitian, Licensed Dietitian

Betsy Hurst , MS RD LD CDE

Dietitian, Registered

NPI 1104930072

MSRDLDCDE

Dr. Harish Nirujogi , MD

Surgery

NPI 1134350721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 15, 2023

Registered at 4900 HOUSTON RD, FLORENCE, KY 410424824 (Tel: 8592124625)

📍

Updated Business Mailing Address February 15, 2023

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8592124625)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2022

Nurse Practitioner (License #3006901 in KY)

✅

NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2016

Registered at 3 AUDUBON PLAZA DR, STE.110, LOUISVILLE, KY 402171300 (Tel: 5026368266)

📍

Updated Business Mailing Address November 03, 2016

Registered at PO BOX 776351, CHICAGO, IL 606776351 (Tel: 5025889490)

👤

Provider Name / Credentials Updated November 03, 2016

Recorded as ELIZABETH HUGHES, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Nurse Practitioner (License #3006901 in KY)

🟢

Initial NPI Registration & Enumeration May 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609167170

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2011

Last Update: February 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8592124625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.