MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) – Family Nurse Practitioner, NPI 1346639283

MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) is a healthcare provider. based in Poteau, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP APRN, CNP. They hold a License No. 88955 (OK). The NPI Number for MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) is 1346639283

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP)
NPI
1346639283
Phone
(918) 385-1544
Address
2104 N BROADWAY ST UNIT A
Enumeration Date
15 January 2015
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185642726
Graduation Year
2017 (9 years ago)
PAC ID
1557689916
Professional Enrollment ID
I20160317001553
Address ID
OK749532050PO2505XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP)

  • 2104 N BROADWAY ST UNIT A

    POTEAU, OK 749532538

    Phone: (918) 385-1544

    Fax: (918) 635-3308

    Type: Mailing

  • 2104 N BROADWAY ST

    UNIT A

    POTEAU, OK 749532538

    Phone: (918) 564-2726

    Fax: (918) 564-2732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($113).

Total Amount

$232

General + Research + Ownership

Payments

14

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-03-17

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
I20160317001553INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes23299$0
99213Established patient office or other outpatient visit, 20-29 minutes17689$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a11741$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
96372Injection of drug or substance under skin or into muscle3113$0
View full utilization report →

Insurance plans in this area (ZIP 74953)

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Reviews

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Frequently asked questions

What number should I use to identify MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) for billing?
Administrative and clinical systems typically use NPI 1346639283 for MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP).
Does the public listing show MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) as active?
MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP)?
NPPES ties MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) tied to Poteau, Oklahoma?
If you are local to Poteau, Oklahoma, MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP) may be relevant to your search.
Can I export MRS. SHELLY DAWN ANDERSON (DNP APRN, CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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