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

Elise Nicole Welbourne, PA-C

Individual provider Physician Assistant · NPI 1114598042

Elise Nicole Welbourne, PA-C is a Physician Assistant in Norman, Oklahoma. Qualified in 2021, 5 years ago. Practices with Norman Regional Providers Primary Care, a 56-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 W Tecumseh Rd Ste 106
Norman, OK 73072-1810
Phone: (405) 314-0044
Fax: (405) 307-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4571 (OK)

Record details

NPI number1114598042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Norman Regional Providers Primary Care — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Norman