ANASTASIA DEROUSSEL (NP) – Family Nurse Practitioner, NPI 1548793631
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,993 NURSE PRACTITIONER in NY
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Provider Addresses for ANASTASIA DEROUSSEL (NP)
1200 W CHEROKEE ST
WAGONER, OK 744674624
Phone: (918) 485-5514
Type: Mailing
Nathan Littauer Hospital, 99, East State Street, Kingsboro, Gloversville, City of Gloversville, Fulton County, New York, 12078, United States
GLOVERSVILLE, NY 120781203
Phone: (518) 773-5559
Type: Mailing
1202 W CHEROKEE ST STE G
WAGONER, OK 744674629
Phone: (918) 914-5533
Fax: (918) 485-6020
Type: Location
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: 2025-12-01
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 |
|---|---|---|---|---|
| I20190204001260 | I | Nurse Practitioner | OK | TBD |
| I20251201002829 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 62 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 74467)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Hospitalist, Internal Medicine, Internal Medicine, Emergency Medicine | MO | |
| Nurse Practitioner | TX | |
| Internal Medicine, Hospitalist, Hospitalist, Internal Medicine | PA | |
| Hospitalist, Internal Medicine | MO | |
| Internal Medicine | PA | |
| Internal Medicine, Rheumatology | TX | |
| Family Practice, Hospitalist, Family Practice | MO | |
| Internal Medicine, Hospitalist, Internal Medicine | NJ | |
| Internal Medicine | MI |
Reviews
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