NPIMap

Individual provider Active NPI

Elise R Wiesner, MD

  • Internal Medicine Physician
  • Norman, OK
National Provider Identifier
1386626497
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18219 Issued in OK
Practice address
500 E Robinson St Ste 2400
Norman, OK 73071-6684
Phone
(405) 515-0380
Fax
(405) 307-5632
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18219 OK Primary

Addresses

Primary practice location

500 E Robinson St Ste 2400
Norman, OK 73071-6684

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6630

Other identifiers 1

IdentifierTypeStateIssuer
100826940AMedicaidOK

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
I20090218000124 OK Practitioner - Internal Medicine 3971530577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

500 E Robinson St
2400 Internal Medicine
Norman, OK 73071-6684
Phone (405) 515-0380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Primary Care Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Dec 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 104
Norman, OK 73072
Phone 4053647900117

500 E Robinson St
Norman, OK 73071
Phone (405) 360-4836

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

900 N Porter Ave
Ste 310
Norman, OK 73071
Phone (405) 329-7066

1125 N Porter Ave
Ste 202
Norman, OK 73071
Phone (405) 515-1800

500 E Robinson St
Ste 2400
Norman, OK 73071
Phone (405) 360-1264

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

Interoperability endpoints

  • Direct secure messaging: elise.wiesner@nrh.eclinicaldirectplus.com

Organizations & group practices 5

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 5

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1386626497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6630",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST STE 2400",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716684",
            "telephone_number": "405-515-0380",
            "fax_number": "405-307-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "ELISE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100826940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.