Elizabeth L. Livingston, CRNP
NPI 1386878361ActiveIndividual· Nurse Practitioner, Family· Muscle Shoals, AL
Nurse Practitioner, Family (CRNP) with Avalon Medical Group, practicing in Muscle Shoals, Alabama. Their prescriptions cost Medicare Part D more than their services did: $113,102 for 2,235 claims, against $52,942 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $578.77 in all, mostly food and beverage. Lists Helen Keller Hospital as a hospital affiliation.
Overview
| NPI | 1386878361 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1-089954 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 371 |
|---|---|
| Services billed | 2,453 across 80 procedure codes |
| Paid by Medicare | $52,942 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,235 · 3,347 30-day fills |
|---|---|
| Patients | 640 |
| Total drug cost | $113,102 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Avalon Medical GroupMuscle Shoals, AL · 21 clinicians
Hospital affiliation
- Helen Keller HospitalSheffield, AL
Other facilities
- Centerwell Home HealthHome health agency · Moulton, AL
Industry payments (Open Payments)
- 2025$578.77 · 35 payments from 15 companies
- 2024$468.12 · 30 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $170.82 | 13 |
| Novo Nordisk Inc | $88.24 | 5 |
| Vanda Pharmaceuticals Inc. | $48.07 | 2 |
| Lilly USA, LLC | $45.77 | 2 |
| Ardelyx, Inc. | $36.48 | 2 |
What the 2025 payments were for
- Food and Beverage$578.77 · 35 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Muscle Shoals
- 1205398633
- 1265065353
- 1265085880
- 1376306340
- 1376933663
- 1457928392
- 1528433844
- 1659950848
- 1689846594
- 1699328351
- 1760649008
- 1770290124
All 38 family nurse practitioners in Muscle Shoals · All family nurse practitioners in Alabama