Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allyn Elise Ross

Individual provider Pediatric Nurse Practitioner · NPI 1730824939

Allyn Elise Ross is a Nurse Practitioner in Ada, Oklahoma. Qualified in 2021, 5 years ago. Practices with Central Oklahoma Family Medical Center Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1214 Arlington St
Ada, OK 74820-4045
Phone: (580) 436-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 207381 (OK)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 207381 (OK)

Record details

NPI number1730824939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address2701 Sw Cornell Ave, Lawton, OK 73505-7121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Oklahoma Family Medical Center Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ada