Kari L Elliott, DNP, CPNP-PC, AE-C
Individual provider Active NPI Family Nurse Practitioner · Ponca City, OK
NPI 1982198131 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1982198131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 213340 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ND, OR, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elbowoods Memorial Health Center | Current |
Accepting new patients | |
| Integris Ambulatory Care Corporation | Pediatrics | Current |
Accepting new patients |
| Integris Health Ponca City Hospital Inc | Past | Accepting new patients | |
| Kay County Oklahoma Hospital Company LLC | 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
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
Interoperability endpoints
- kelliott489462@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 213340 | OK | |
| Family Nurse Practitioner | 363LF0000X | 213340 | OK | Yes |
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
Other providers in Ponca City, OK
- Ee Rad Ok, LLC
- Sandra Lisette Eguia
- Ehp of Ponca City LLC
- Cynthia J Ehrlich
- Sheryl Lynn Eitzmann
- Illyce Elston
- Napoleon Scott Elston Jr.
- Enid Urology Associates, Inc
- Enjoy Life Counseling, LLC
- Miracle Jean Enninga
All providers in Ponca City, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.