ROBERTA LESLI MOWDY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285007401
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for ROBERTA LESLI MOWDY (PMHNP-BC)
1921 STONECIPHER BLVD
ADA, OK 74820
Phone: (580) 421-4570
Type: Location
2577 NE COURTNEY DR
BEND, OR 977017752
Phone: (541) 322-7678
Fax: (541) 322-7565
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2021-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200128001322 | I | Nurse Practitioner | OR | TBD |
| I20210907000559 | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 68 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 13 | $0 |
Insurance plans in this area (ZIP 74820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| P S Y C H I A T R Y | OR | |
| Mental Health Counselor | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| Infectious Disease | OR | |
| Occupational Therapist In Private Practice | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR |
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