NPIMap

Individual provider Active NPI

Joanna Elliott, APRN

  • Family Nurse Practitioner
  • Woodward, OK
National Provider Identifier
1124419981
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0088924 Issued in OK
Practice address
1611 Main St Ste 102
Woodward, OK 73801-3064
Phone
(580) 254-8198
NPI assigned
Feb 13, 2015
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0088924 OK Primary

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 1

IdentifierTypeStateIssuer
200574930AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joanna.elliott.4@1601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323000347 OK Practitioner - Nurse Practitioner 3476870999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial Hospital, IncGroup PAC ID 2567482367, 29 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Newman Memorial Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Aug 10, 2024 Accepting new patients
Newman Memorial 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
Integris Health Woodward Hospital Inc Past Accepting new patients
Integris Health Woodward Hospital Inc Past Accepting new patients
Newman Memorial Hospital, Inc Past Accepting new patients
Newman Memorial Hospital, Inc. Past Accepting new patients

Locations

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1222 Main St
Woodward, OK 73801
Phone (580) 256-1235

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: elliottj@yourcarecommunity.org
  • Direct secure messaging: jelliott485385@direct.integrisok.com
  • Direct secure messaging: joanna.elliott.4@1601.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1124419981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MAIN ST STE 102",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013064",
            "telephone_number": "580-254-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 MAIN ST STE 102",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013064",
            "telephone_number": "580-254-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JOANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0088924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200574930A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna.elliott.4@1601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1611 Main St Ste 102",
            "city": "Woodward",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738013064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.