Individual provider Active NPI

Elizabeth Disalvatore, MHS, PA-C

  • Physician Assistant
  • Duncan, OK
National Provider Identifier
1760147664
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4688 Issued in OK
Practice address
1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone
(580) 252-5300
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4688 OK Primary

Addresses

Primary practice location

1415 N Whisenant Dr
Duncan, OK 73533-1650

Mailing address

1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

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
I20220106000831 OK Practitioner - Physician Assistant 5193116804 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4688OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Emergency Services PC Physician Assistant CurrentSince Dec 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Mar 2, 2026 Accepting new patients
Emergency Services of Oklahoma PC Physician Assistant CurrentSince Aug 8, 2023 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Centurion Emergency Partners LLC CurrentSince Nov 5, 2024 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC CurrentSince Oct 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

400 E Chestnut St
Hollis, OK 73550
Phone (580) 471-0971

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

Interoperability endpoints

  • Direct secure messaging: edisalvatore276075@direct.saintfrancis.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1760147664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N WHISENANT DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331650",
            "telephone_number": "580-252-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N WHISENANT DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331650",
            "telephone_number": "580-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISALVATORE",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.