Individual provider Active NPI

Kari L Elliott, DNP, CPNP-PC, AE-C

  • Family Nurse Practitioner
  • Ponca City, OK
National Provider Identifier
1982198131
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213340 Issued in OK
Practice address
1908 N 14TH St Ste 207
Ponca City, OK 74601-2039
Phone
(580) 762-9355
Fax
(580) 765-0336
NPI assigned
Jun 20, 2018
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 213340 OK
Family Nurse Practitioner 363LF0000X 213340 OK Primary

Addresses

Primary practice location

1908 N 14TH St Ste 207
Ponca City, OK 74601-2039

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (580) 762-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, OR, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211230000783 ND Practitioner - Nurse Practitioner 3476944828 Reassigns benefits to 1 organization
I20221227001929 OR Practitioner - Nurse Practitioner 3476944828 Reassigns benefits to 1 organization
I20231013001432 OK Practitioner - Nurse Practitioner 3476944828 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Pediatrics CurrentSince Jul 22, 2024 Accepting new patients
Elbowoods Memorial Health Center CurrentSince Nov 15, 2021 Accepting new patients
Kay County Oklahoma Hospital Company LLC Past Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients

Locations

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Interoperability endpoints

  • Direct secure messaging: kelliott489462@direct.integrisok.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1982198131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "580-762-9355",
            "fax_number": "580-765-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 207",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-762-9355",
            "fax_number": "580-765-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KARI",
        "middle_name": "L",
        "credential": "DNP, CPNP-PC, AE-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "213340",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "213340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.