Individual provider Active NPI

Elizabeth Olis, AGNP-BC, CNP

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1346892866
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
67457 Issued in NM
Practice address
6 Calle Medico Ste 4
Santa Fe, NM 87505-4761
Phone
(505) 498-0980
Fax
(505) 395-9251
NPI assigned
Jul 15, 2019
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 7202 MN
Adult Health Nurse Practitioner 363LA2200X 67457 NM
Adult Health Nurse Practitioner 363LA2200X 219309 LA
Gerontology Nurse Practitioner 363LG0600X 7202 MN
Gerontology Nurse Practitioner 363LG0600X 67457 NM
Primary Care Nurse Practitioner 363LP2300X 67457 NM Primary
Registered Nurse 163W00000X RN60233 LA

Addresses

Primary practice location

6 Calle Medico Ste 4
Santa Fe, NM 87505-4761

Mailing address

6 Calle Medico Ste 4
Santa Fe, NM 87505-4761
Phone (505) 498-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, LA, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200603002581 MN Practitioner - Nurse Practitioner 1052732013
I20211028002162 WI Practitioner - Nurse Practitioner 1052732013
I20211101001213 LA Practitioner - Nurse Practitioner 1052732013
I20230621001680 NM Practitioner - Nurse Practitioner 1052732013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Calle Medico
Suite 4
Santa Fe, NM 87505-4761
Phone (505) 498-0980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60233LAMDRegistered Nurse
7202MNMDAudiologist
219309LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aquarius Medical & Wellness Clinic, LLC Primary Care CurrentSince Apr 26, 2025 Accepting new patients
Chess Medicine PLLC Gerontology CurrentSince May 27, 2023 Accepting new patients
Sunflower Mobile & Medical Clinic LLC Adult Health CurrentSince Oct 13, 2022 Accepting new patients
Presbyterian Healthcare Services PastSince Jun 22, 2023 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

6165 NW 86th St
Johnston, IA 50131
Phone (515) 468-2996

1533 S Saint Francis Dr
Ste A
Santa Fe, NM 87505
Phone (505) 920-6421

6 Calle Medico
Ste 4
Santa Fe, NM 87505
Phone (505) 498-0980

Interoperability endpoints

  • Direct secure messaging: elizabeth.olis.1@33113.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1346892866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALLE MEDICO STE 4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054761",
            "telephone_number": "505-498-0980",
            "fax_number": "833-505-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE MEDICO STE 4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054761",
            "telephone_number": "505-498-0980",
            "fax_number": "505-395-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIS",
        "first_name": "ELIZABETH",
        "credential": "AGNP-BC, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-05-11",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "7202",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "67457",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "219309",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "7202",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "67457",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "67457",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN60233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.