JOANNA ELLIOTT (APRN) – Family Nurse Practitioner, NPI 1124419981

JOANNA ELLIOTT (APRN) is a healthcare provider. based in Woodward, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R0088924 (OK). The NPI Number for JOANNA ELLIOTT (APRN) is 1124419981

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA ELLIOTT (APRN)
NPI
1124419981
Phone
(580) 254-8198
Address
1611 MAIN ST STE 102
Enumeration Date
13 February 2015
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5809382551
Graduation Year
2014 (12 years ago)
PAC ID
3476870999
Group Practice PAC ID
2567482367
Professional Enrollment ID
I20150323000347
Address ID
OK738013124WO1222XSTXX300

Contacts

Secure Messaging
joanna.elliott.4@1601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JOANNA ELLIOTT (APRN)

  • 1611 MAIN ST STE 102

    WOODWARD, OK 738013064

    Phone: (580) 254-8198

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $768.

Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($284).

Total Amount

$768

General + Research + Ownership

Payments

36

Total payment records

General Amount

$768

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-03-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150323000347INurse PractitionerOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567482367View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerOK
Certified Nurse Midwife (Cnm)NC
H E M A T O L O G Y/ O N C O L O G YAZ
Family PracticeOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK

Reviews

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Frequently asked questions

How do payers reference JOANNA ELLIOTT (APRN)?
For JOANNA ELLIOTT (APRN), use NPI 1124419981 as the unique 10-digit identifier.
Would JOANNA ELLIOTT (APRN) appear as active to a payer?
You can treat JOANNA ELLIOTT (APRN) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOANNA ELLIOTT (APRN)?
At a glance, JOANNA ELLIOTT (APRN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOANNA ELLIOTT (APRN) located near Woodward?
JOANNA ELLIOTT (APRN) currently maps to Woodward, Oklahoma in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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