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ELISE JOHANNESEN MD
NPI 1316383656
Internal Medicine in Oklahoma City, OK

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
711 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-4113 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Jul 31, 2017 (2 updates tracked since 2017).

About Elise Johannesen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE JOHANNESEN MD (NPI 1316383656) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Texas (R4568) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of University Of Oklahoma College Of Medicine (2013).

NPPES Registry Identity

NPI1316383656
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELISE JOHANNESENCredential: MD
Location Address711 SL YOUNG BLVDOklahoma City, OK 73104-5023
Mailing Address711 Sl Young BlvdOklahoma City, OK 73104-5023 · (405) 271-4113
Phone(405) 271-4113
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1316383656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · R4568✔ Licensed in OK · 30075
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 30075 (OK)
711 SL YOUNG BLVD, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Johannesen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254659832
PECOS Enrollment IDI20171226001388
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elise Johannesen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Hospitalists PLLC
181 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Hospital Care Consultants Region II Inc
417 mi
Internal Medicine
200 W TYLER AVE
West Memphis, AR 72301
  • Reassigned Medicare billing, Oklahoma enrollment
  • 79 clinicians in this Medicare group
NPI 1558491449 (870) 735-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
226 services109 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
174 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
160 services156 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
102 services98 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
90 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%184 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers60 claims61 services$14.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers65 claims66 services$62.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYUMI LUDWIG MD
Psychiatry & Neurology (Neurology)
711 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4113
MARGUERITE BUTCHEE MD
Psychiatry & Neurology (Neurology)
711 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4113
TYLER WEBB MD
Psychiatry & Neurology (Neurology)
711 SL YOUNG BLVD, PPB 215
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Johannesen's NPI number?

The NPI number for Elise Johannesen is 1316383656. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Elise Johannesen located?

Elise Johannesen practices at 711 Sl Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-4113.

What is Elise Johannesen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elise Johannesen enrolled in Medicare?

Yes. Elise Johannesen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elise Johannesen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Johannesen reassigns Medicare benefits to 2 organizations: Questcare Hospitalists PLLC (Dallas, TX) and Hospital Care Consultants Region II Inc (West Memphis, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Johannesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Johannesen accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Elise Johannesen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elise Johannesen affiliated with any hospitals?

According to CMS data, Elise Johannesen is affiliated with Medical City Denton.

When was this NPI record last updated?

The NPPES record for Elise Johannesen was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.