MISTY DAWN ANDERSON (NP) – Family Nurse Practitioner, NPI 1114176112

MISTY DAWN ANDERSON (NP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R0077296 (OK). The NPI Number for MISTY DAWN ANDERSON (NP) is 1114176112

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MISTY DAWN ANDERSON (NP)
NPI
1114176112
Phone
(918) 832-6049
Address
1515 N HARVARD AVE
Enumeration Date
15 September 2008
Last Update Date
12 April 2010

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4052130192
Graduation Year
2008 (18 years ago)
PAC ID
3678638749
Group Practice PAC ID
5294960696
Professional Enrollment ID
I20090224000717
Address ID
OK741455760TU4853XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MISTY DAWN ANDERSON (NP)

  • 1515, North Harvard Avenue, North Evanston Place, Tulsa, Tulsa County, Oklahoma, 74115, United States

    STE E

    TULSA, OK 741154957

    Phone: (918) 832-6049

    Fax: (918) 832-6055

    Type: Mailing

  • South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741045346

    Phone: (918) 748-7557

    Fax: (918) 748-7514

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($139).

Total Amount

$324

General + Research + Ownership

Payments

14

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-02-24

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
I20090224000717INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes2020$0
96372Injection of drug or substance under skin or into muscle1614$0
81002Urinalysis, manual test1413$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1412$0
85014Red blood cell concentration measurement1312$0
View full utilization report →

Insurance plans in this area (ZIP 74115)

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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: 5294960696View full group profile

Reviews

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Frequently asked questions

Can I verify MISTY DAWN ANDERSON (NP) with an NPI only?
You can start verification with NPI 1114176112 for MISTY DAWN ANDERSON (NP), then check state licensing separately.
Is MISTY DAWN ANDERSON (NP) still practicing?
MISTY DAWN ANDERSON (NP) is currently listed as active in the public NPI registry.
What is MISTY DAWN ANDERSON (NP)'s specialty?
The listing groups MISTY DAWN ANDERSON (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MISTY DAWN ANDERSON (NP) list a practice location?
Patients near Tulsa, Oklahoma may find MISTY DAWN ANDERSON (NP) in results; validate coverage separately.
Is the information about MISTY DAWN ANDERSON (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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