MISS DIANA LEE ANDERS (PA-C) – Physician Assistant, NPI 1225292303
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MISS DIANA LEE ANDERS (PA-C)
300 WANDA ST
MARIETTA, OK 734481200
Phone: (580) 276-3347
Fax: (580) 276-4795
Type: Location
25, Powell Crescent, Ilam, Christchurch, Christchurch City, Canterbury, 8041, New Zealand
POWELL, WY 824350025
Phone: (307) 764-4107
Fax: (307) 764-1892
Type: Mailing
128, North Bent Street, Powell, Park County, Wyoming, 82435, United States
POWELL, WY 824352712
Phone: (307) 764-4107
Fax: (307) 764-1892
Type: Location
PO BOX 776084
CHICAGO, IL 606776084
Phone:
Type: Mailing
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: 2025-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20080908000109 | I | Physician Assistant | WY | TBD |
| I20150324000937 | I | Physician Assistant | MT | TBD |
| I20151209000146 | I | Physician Assistant | TX | TBD |
| I20250918001539 | I | Physician Assistant | 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 73448)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| - | MT | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| - | MT | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| - | TN | |
| U R O L O G Y | WA | |
| Nurse Practitioner | MT | |
| Pulmonary Disease | TN |
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