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

Elizabeth Nieman

Individual provider Physician Assistant · NPI 1053195131

Elizabeth Nieman is a Physician Assistant in Stillwater, Oklahoma. Qualified in 2025, 1 year ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2023
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Practice location Address checks out

7 Shadow Creek Ln
Stillwater, OK 74074-2000
Phone: (405) 714-2843
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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 5717 (OK)

Record details

NPI number1053195131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address7 Shadow Creek Ln, Stillwater, OK 74074-2000

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stillwater