NOLEN DALE ANDERSON (DO) – Emergency Medicine Physician, NPI 1477515484

NOLEN DALE ANDERSON (DO) is a healthcare provider. based in Ardmore, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 4172 (OK). The NPI Number for NOLEN DALE ANDERSON (DO) is 1477515484

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NOLEN DALE ANDERSON (DO)
NPI
1477515484
Phone
(580) 220-6658
Address
1011 14TH AVE NW
Enumeration Date
5 April 2006
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803322323
Graduation Year
2003 (23 years ago)
PAC ID
8426085812
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20050921000282
Address ID
OK748204610AD430XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for NOLEN DALE ANDERSON (DO)

  • Mercy Hospital Ardmore, 1011, 14th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States

    ARDMORE, OK 734011828

    Phone: (580) 220-6658

    Fax: (580) 220-6673

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($32).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-09-21

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
I20050921000282IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making442394$0
99284Emergency department visit with moderate level of medical decision making158152$0
99291Critical care, first 30-74 minutes6464$0
99283Emergency department visit with low level of medical decision making4138$0
View full utilization report →

Insurance plans in this area (ZIP 73401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153468921View full group profile

Reviews

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Frequently asked questions

Is NOLEN DALE ANDERSON (DO) listed with a National Provider Identifier?
Yes — NOLEN DALE ANDERSON (DO) has NPI 1477515484 on file in the registry.
Is there an active status for NOLEN DALE ANDERSON (DO)?
For scheduling context, NOLEN DALE ANDERSON (DO) is shown as active in the registry.
What clinical focus is listed for NOLEN DALE ANDERSON (DO)?
At a glance, NOLEN DALE ANDERSON (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NOLEN DALE ANDERSON (DO) associated with Ardmore?
Public fields place NOLEN DALE ANDERSON (DO) around Ardmore, Oklahoma. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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