Individual provider Active NPI

Elise Johannesen, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1316383656
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4568 Issued in TX
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

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170224001401 OK Practitioner - Internal Medicine 1254659832 Reassigns benefits to 1 organization
I20171226001388 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1254659832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

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

LicenseStateTypeSpecialty
30075OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Jan 25, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.