MRS. DESTINY RUOSA MITCHELL (APRN-CNP) – Family Nurse Practitioner, NPI 1114309317
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MRS. DESTINY RUOSA MITCHELL (APRN-CNP)
2307 Gordon Cooper Dr
Shawnee, OK 748019007
Phone: (405) 273-5236
Type: Location
217 W SMITH STREET
STRATFORD, OK 74872
Phone: (580) 759-2336
Fax: (580) 332-0383
Type: Location
781 GRAND CASINO BLVD
SHAWNEE, OK 748041005
Phone: (405) 964-5770
Fax: (405) 964-5788
Type: Location
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: 2016-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161217000192 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 24 | 22 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 23 | 23 | $0 |
| 83036 | Hemoglobin a1c level | 20 | 19 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 16 | 14 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 16 | 16 | $0 |
Insurance plans in this area (ZIP 74801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OK | 83036 | Hemoglobin A1C level | 57 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology) | OK | |
| Internal Medicine, Endocrinology, Endocrinology | OK | |
| O P T O M E T R Y | OK | |
| C H I R O P R A C T I C | OK | |
| Marriage And Family Therapist | OK | |
| General Practice, Psychiatry | OK | |
| Pain Management, Neurology | OK | |
| - | OK | |
| Nurse Practitioner | OK |
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