ELISE NICOLE WELBOURNE (PA-C) – Physician Assistant, NPI 1114598042
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for ELISE NICOLE WELBOURNE (PA-C)
800 48TH AVE NW
NORMAN, OK 730723948
Phone: (405) 708-6000
Type: Mailing
6800 PRESTON RD
PLANO, TX 750242505
Phone: (214) 473-3600
Type: Location
3400 W TECUMSEH RD STE 106
NORMAN, OK 730721810
Phone: (405) 515-0044
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $401.
Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: ABBVIE INC. ($115).
Total Amount
$401
General + Research + Ownership
Payments
21
Total payment records
General Amount
$401
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $115 |
| GlaxoSmithKline, LLC. | $66 |
| Smith+Nephew, Inc. | $64 |
| AstraZeneca Pharmaceuticals LP | $38 |
| Astellas Pharma US Inc | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230802000750 | I | Physician Assistant | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 27 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 19 | 19 | $0 |
Insurance plans in this area (ZIP 73072)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | OK | |
| Nurse Practitioner | TX | |
| Family Practice | OK | |
| Family Practice | CA | |
| Family Practice | OK | |
| - | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK |
Reviews
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