Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Pruett

Individual provider Family Nurse Practitioner · NPI 1659100436

Elizabeth Pruett is a Nurse Practitioner in San Diego, California. Qualified in 2024, 2 years ago. Practices with Hom Medical Group Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

555 Washington St
San Diego, CA 92103-2289
Phone: (619) 260-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030919 (CA)

Record details

NPI number1659100436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hom Medical Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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