MERCEDES SHERRELL ANDERSON – Acute Care Nurse Practitioner, NPI 1043023823

MERCEDES SHERRELL ANDERSON is a healthcare provider. based in Elgin, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 211617 (OK). The NPI Number for MERCEDES SHERRELL ANDERSON is 1043023823

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MERCEDES SHERRELL ANDERSON
NPI
1043023823
Phone
(501) 722-3902
Address
PO BOX 47
Enumeration Date
27 January 2025
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803573671
Graduation Year
2022 (4 years ago)
PAC ID
7315455789
Group Practice PAC ID
0749192433
Professional Enrollment ID
I20250806000274
Address ID
OK735056100LA110XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MERCEDES SHERRELL ANDERSON

  • PO BOX 47

    ELGIN, OK 735380047

    Phone: (501) 722-3902

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250806000274INurse PractitionerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749192433View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MERCEDES SHERRELL ANDERSON?
Save NPI 1043023823 if you need a stable reference for MERCEDES SHERRELL ANDERSON.
Is MERCEDES SHERRELL ANDERSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MERCEDES SHERRELL ANDERSON list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MERCEDES SHERRELL ANDERSON. Clinical services aligned with this taxonomy classification.
What location shows for MERCEDES SHERRELL ANDERSON?
We surface Elgin, Oklahoma for MERCEDES SHERRELL ANDERSON based on available NPPES addresses.
Is MERCEDES SHERRELL ANDERSON a real provider?
This page reflects official NPPES data for NPI 1043023823. Always confirm identity and privileges with the practice and licensing boards.

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