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

Mikaela Rose Koivisto

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336991538

Mikaela Rose Koivisto is an Emergency Medicine in Oklahoma City, Oklahoma. Graduated from University of Arkansas College of Medicine in 2024, 2 years ago. Practices with Premier Physician Staffing 2 PLLC, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Trained at
University of Arkansas College of Medicine
Licensed in
OK
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Oklahoma City, OK

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

  • 1500 N Green Ave, Purcell, OK 73080-1642 — (405) 527-6524
  • 2401 W Wrangler Blvd, Seminole, OK 74868-1917 — (432) 758-5811
  • 3701 E Main St, Weatherford, OK 73096-3309 — (580) 772-5551

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9185 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336991538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2024
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Premier Physician Staffing 2 Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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