Individual provider Active NPI

Mariah Elliott, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1104167097
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202635 Issued in OK
Practice address
3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955
Phone
(918) 913-7575
Fax
(918) 913-7576
NPI assigned
Mar 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202635 OK Primary

Addresses

Primary practice location

3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955

Mailing address

3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955
Phone (918) 913-7575

Other names 1

  • Mariah Mariano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02635OKMDMedical-Surgical Registered Nurse
61050OKMDLicensed Practical Nurse
202635OKMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1104167097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-913-7575",
            "fax_number": "918-913-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-913-7575",
            "fax_number": "918-913-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MARIAH",
        "name_prefix": "Dr.",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "202635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "MARIANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.