Individual provider Active NPI

Lisa Curtess-Welch, PA

  • Physician Assistant
  • Edmond, OK
National Provider Identifier
1295779213
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
663 Issued in OK
Practice address
301 E Waterloo Rd
Edmond, OK 73034-8196
Phone
(405) 715-2000
Fax
(405) 715-2010
NPI assigned
Jun 16, 2006
Last updated
Oct 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 663 OK Primary

Addresses

Primary practice location

301 E Waterloo Rd
Edmond, OK 73034-8196

Mailing address

301 E Waterloo Rd
Edmond, OK 73034-8196
Phone (405) 715-2000

Other identifiers 1

IdentifierTypeStateIssuer
100719570BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000370 OK Practitioner - Physician Assistant 3678532694 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County Inc CurrentSince Oct 22, 2014 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 22, 2014 Accepting new patients
Weatherford Hospital Authority CurrentSince Nov 1, 2005 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Health Network Inc Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: lisa.curtess@423143676772356.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1295779213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WATERLOO RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348196",
            "telephone_number": "405-715-2000",
            "fax_number": "405-715-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WATERLOO RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348196",
            "telephone_number": "405-715-2000",
            "fax_number": "405-715-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTESS-WELCH",
        "first_name": "LISA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100719570B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.