Active NPI
Elise Johannesen, MD
- Internal Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R4568
- Practice address
- 711 SL Young Blvd
Oklahoma City, OK 73104-5023 - Phone
- (405) 271-4113
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30075 | OK | |
| Pediatrics Physician | 208000000X | 30075 | OK | |
| Internal Medicine Physician | 207R00000X | R4568 | TX | Primary |
Addresses
Primary practice location
711 SL Young Blvd
Oklahoma City, OK 73104-5023
Mailing address
711 SL Young Blvd
Oklahoma City, OK 73104-5023
Phone (405) 271-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30075 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| Hospital Care Consultants Region II Inc | Internal Medicine | Current | Accepting new patients |
| Columbia Hospital at Medical City Dallas Subsidiary LP | Past | Accepting new patients | |
| Columbia Medical Center of Denton Subsidiary LP | Past | Accepting new patients |
Locations
1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
501 N 14th St
Perry, OK 73077
Phone (580) 336-3541
2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600
Interoperability endpoints
- elise.johannesen.1@9147.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
Internal Medicine
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
OK
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1316383656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SL YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045023",
"telephone_number": "405-271-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SL YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045023",
"telephone_number": "405-271-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANNESEN",
"first_name": "ELISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "30075",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "30075",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R4568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.