MR. ROBERT RYAN DISOTELL (ANP) – Adult Health Nurse Practitioner, NPI 1265798805
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. ROBERT RYAN DISOTELL (ANP)
202 QUAIL LN
WAKE VILLAGE, TX 755015722
Phone: (870) 292-9960
Type: Mailing
2604 SAINT MICHAEL DR STE 340
TEXARKANA, TX 755032378
Phone: (903) 614-5117
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: 2025-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20120611000248 | I | Nurse Practitioner | AR | TBD |
| I20120628000671 | I | Nurse Practitioner | TX | TBD |
| I20250110003003 | I | Nurse Practitioner | TN | TBD |
| I20250326003768 | I | Nurse Practitioner | ID | TBD |
| I20250403002805 | I | Nurse Practitioner | LA | TBD |
| I20250707000502 | I | Nurse Practitioner | NM | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 66 | 38 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 75501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Infectious Disease, Internal Medicine | PA | |
| P S Y C H I A T R Y | CA | |
| N E U R O L O G Y | TX | |
| Internal Medicine, Nephrology | WI | |
| Internal Medicine | TX | |
| - | NY | |
| - | SC | |
| Hospitalist, Internal Medicine, Pulmonary Disease | SC | |
| Internal Medicine, Hospitalist | NE |
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