SLADE DOLLARHIDE – Family Nurse Practitioner, NPI 1114789575

SLADE DOLLARHIDE is a healthcare provider. based in Haworth, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. R0131124 (OK). The NPI Number for SLADE DOLLARHIDE is 1114789575

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
SLADE DOLLARHIDE
NPI
1114789575
Phone
Not provided
Address
8794 GOODWATER RD
Enumeration Date
30 January 2024
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802083103
Graduation Year
2024 (2 years ago)
PAC ID
9436683281
Group Practice PAC ID
8022926252
Professional Enrollment ID
I20241115001306
Address ID
OK747457300ID1301XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SLADE DOLLARHIDE

  • 8794 GOODWATER RD

    HAWORTH, OK 747405396

    Phone:

    Type: Mailing

  • 1425 E Lincoln Rd Ste B3

    Idabel, OK 747457345

    Phone: (580) 286-2947

    Type: Location

  • 8794 Goodwater Rd

    Haworth, OK 747405396

    Phone: (580) 612-6560

    Type: Location

  • 101 E TERRI DR

    VALLIANT, OK 747646801

    Phone: (580) 933-9300

    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: 2024-11-15

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
I20241115001306INurse 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 74740)

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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: 8022926252View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicineOK
-OK
Family PracticeTX
Nurse PractitionerOK
General SurgeryTX
Nurse PractitionerOK
Family PracticeOK
Interventional Cardiology, Cardiovascular Disease (Cardiology)OK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I cross-check SLADE DOLLARHIDE using NPI 1114789575?
NPI 1114789575 belongs to SLADE DOLLARHIDE; compare other details if you need extra assurance.
Is there an active status for SLADE DOLLARHIDE?
For scheduling context, SLADE DOLLARHIDE is shown as active in the registry.
What clinical focus is listed for SLADE DOLLARHIDE?
At a glance, SLADE DOLLARHIDE is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is SLADE DOLLARHIDE registered?
Use Haworth, Oklahoma as the headline location for SLADE DOLLARHIDE here.
Does SLADE DOLLARHIDE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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