ANASTASIA DEROUSSEL (NP) – Family Nurse Practitioner, NPI 1548793631

ANASTASIA DEROUSSEL (NP) is a healthcare provider. based in Wagoner, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 727314-1 (NY). The NPI Number for ANASTASIA DEROUSSEL (NP) is 1548793631

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANASTASIA DEROUSSEL (NP)
NPI
1548793631
Phone
(918) 485-5514
Address
1200 W CHEROKEE ST
Enumeration Date
6 April 2017
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737857721
Graduation Year
2016 (10 years ago)
PAC ID
4385981042
Group Practice PAC ID
3173989290
Professional Enrollment ID
I20251201002829
Address ID
MO639011573PO3100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190204001260INurse PractitionerOKTBD
I20251201002829INurse PractitionerMOTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6462$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 74467)

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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: 3173989290View full group profile
NameSpecialtyState
Nurse PractitionerMO
Hospitalist, Internal Medicine, Internal Medicine, Emergency MedicineMO
Nurse PractitionerTX
Internal Medicine, Hospitalist, Hospitalist, Internal MedicinePA
Hospitalist, Internal MedicineMO
Internal MedicinePA
Internal Medicine, RheumatologyTX
Family Practice, Hospitalist, Family PracticeMO
Internal Medicine, Hospitalist, Internal MedicineNJ
Internal MedicineMI

Reviews

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Frequently asked questions

Does ANASTASIA DEROUSSEL (NP) have a public NPI I can cite?
Public records show ANASTASIA DEROUSSEL (NP) under NPI 1548793631.
Is ANASTASIA DEROUSSEL (NP) currently accepting referrals based on NPI status?
Registry metadata lists ANASTASIA DEROUSSEL (NP) as active.
What type of care does ANASTASIA DEROUSSEL (NP) provide?
ANASTASIA DEROUSSEL (NP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to ANASTASIA DEROUSSEL (NP)?
The directory associates ANASTASIA DEROUSSEL (NP) with Wagoner, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I export ANASTASIA DEROUSSEL (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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