ANNY LOU MANDAPAT DUNHAM (APRN-CNP) – Family Nurse Practitioner, NPI 1194368316
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 ANNY LOU MANDAPAT DUNHAM (APRN-CNP)
12401 OAK TREE LN
JONES, OK 730498205
Phone: (405) 565-8710
Type: Mailing
1221 N Kelly Ave Ste B
Edmond, OK 730034865
Phone: (405) 844-1663
Fax: (405) 285-4060
Type: Location
12401 Oak Tree Ln
Jones, OK 730498205
Phone: (405) 565-8710
Type: Location
13310 N Eastern Ave
Oklahoma City, OK 731311816
Phone: (405) 513-7333
Fax: (405) 413-7337
Type: Location
1142 SW 104TH STREET
OKLAHOMA CITY, OK 73139
Phone: (405) 691-3100
Fax: (405) 691-3106
Type: Location
13310 N EASTERN AVE
OKLAHOMA CITY, OK 731311816
Phone: (405) 513-7333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SHIELD THERAPEUTICS INC | $16 |
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: 2023-03-02
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 |
|---|---|---|---|---|
| I20230302001307 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 48 | 11 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 40 | 40 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 25 | 13 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 20 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 73049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Emergency Medicine | OK |
Reviews
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