ANNA NICOLE RAWDON (NP-C) – Family Nurse Practitioner, NPI 1225270705
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANNA NICOLE RAWDON (NP-C)
4409 N KICKAPOO AVE STE 121
SHAWNEE, OK 748041225
Phone: (405) 585-0475
Fax: (855) 685-0408
Type: Mailing
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731258884
Phone: (405) 231-3857
Fax: (405) 272-7977
Type: Mailing
SSM Health Saint Anthony Hospital - Shawnee Heliport, J D Kethley Road, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748049638
Phone: (405) 273-5801
Fax: (405) 878-3794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $597.
Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Corcept Therapeutics ($214).
Total Amount
$597
General + Research + Ownership
Payments
32
Total payment records
General Amount
$597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $214 |
| Novo Nordisk Inc | $83 |
| Currax Pharmaceuticals LLC | $50 |
| Amneal Pharmaceuticals LLC | $40 |
| PFIZER INC. | $32 |
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: 2009-04-16
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 |
|---|---|---|---|---|
| I20090416000546 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK |
Reviews
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