MERCY DOMINIC ANTONY – Psychiatric/Mental Health Nurse Practitioner, NPI 1881489904

MERCY DOMINIC ANTONY is a healthcare provider. based in Ardmore, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 219306 (OK). The NPI Number for MERCY DOMINIC ANTONY is 1881489904

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MERCY DOMINIC ANTONY
NPI
1881489904
Phone
(580) 238-4277
Address
1013 15TH AVE NW
Enumeration Date
10 April 2025
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054492323
Graduation Year
2023 (3 years ago)
PAC ID
0941791875
Group Practice PAC ID
5193113751
Professional Enrollment ID
I20251118003506
Address ID
OK731032100OK1720XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MERCY DOMINIC ANTONY

  • 1013 15TH AVE NW

    ARDMORE, OK 734011810

    Phone: (580) 238-4277

    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)

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: 2025-11-18

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
I20251118003506INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 5193113751View full group profile
NameSpecialtyState
Pediatric MedicineVA
Nurse PractitionerOK
Nurse PractitionerOK
P S Y C H I A T R YOK
Clinical Social WorkerOK
Clinical Social WorkerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference MERCY DOMINIC ANTONY?
For MERCY DOMINIC ANTONY, use NPI 1881489904 as the unique 10-digit identifier.
Is MERCY DOMINIC ANTONY shown as active in public data?
Registry records indicate MERCY DOMINIC ANTONY maintains an active NPI.
What area of care is associated with MERCY DOMINIC ANTONY?
MERCY DOMINIC ANTONY's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MERCY DOMINIC ANTONY?
Travel planning: use Ardmore, Oklahoma as the reference point for MERCY DOMINIC ANTONY, then confirm.
When was this NPI issued?
Enumeration for MERCY DOMINIC ANTONY is noted as April 10, 2025 where the registry provides it.

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