Joanna Elliott, APRN
Individual provider Active NPI Family Nurse Practitioner · Woodward, OK
NPI 1124419981 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1124419981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R0088924 (OK)
- Practice address
- 1611 Main St Ste 102
Woodward, OK 73801-3064 - Phone
- (580) 254-8198
- NPI assigned
- Feb 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newman Memorial Hospital, Inc
Practice addresses (Care Compare)
1000 15TH St
Woodward, OK 73801-3008
Phone (580) 571-3160
1222 Main St
Woodward, OK 73801-3124
Phone (580) 938-2551
227 S Main St
Mooreland, OK 73852-9000
Phone (580) 994-2150
905 S Main
Shattuck, OK 73858-9205
905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551
Hospital & facility affiliations
- Carter Healthcare of Central Oklahoma, LLC
- Assured Home Health of Woodward
- Accentcare Health
- Newman Memorial Hospital
- Integris Health Woodward Hospital
- O U Medical Center
- Integris Health Enid Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150323000347 | OK | Practitioner - Nurse Practitioner | 3476870999 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial Hospital, Inc | Current |
Accepting new patients | |
| Newman Memorial Hospital, Inc | Current |
Accepting new patients | |
| Integris Ambulatory Care Corporation | Current |
Accepting new patients | |
| Newman Memorial Hospital, Inc. | Past | Accepting new patients | |
| Integris Health Woodward Hospital Inc | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Past | Accepting new patients | |
| Integris Health Woodward Hospital Inc | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Past | Accepting new patients |
Locations
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
1222 Main St
Woodward, OK 73801
Phone (580) 256-1235
Interoperability endpoints
- jelliott485385@direct.integrisok.com
- joanna.elliott.4@1601.direct.athenahealth.com
- elliottj@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0088924 | OK | Yes |
Addresses
Primary practice location
1611 Main St Ste 102
Woodward, OK 73801-3064
Mailing address
1611 Main St Ste 102
Woodward, OK 73801-3064
Phone (580) 254-8192
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200574930A | Medicaid | OK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joanna.elliott.4@1601.direct.athenahealth.com |
Other providers in Woodward, OK
- DRS Peck & Peck PC
- DRS Ray PLLC
- Dusty Nielsen, D.C. P.L.L.C.
- Cheyenne Edwards
- Jo Eike
- Susan Kay Ellis
- Sierra Dawn Elsey
- Justin Tate Endersby
- Marisa Chaffee Endersby
- Enlighten Chiropractic PLLC
All providers in Woodward, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.