ROLANDA J DAVIS (FNP PMHNP) – Adult Health Nurse Practitioner, NPI 1528202249
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROLANDA J DAVIS (FNP PMHNP)
534 KANGAROO PAW RD
MANSFIELD, TX 760631453
Phone: (918) 327-0254
Type: Mailing
406 N Pecan St Ste A
Nowata, OK 740482638
Phone: (918) 327-0254
Type: Location
909 NE Loop 410 Ste 600
San Antonio, TX 782091309
Phone: (210) 343-5121
Type: Location
3224, Southwest 119th Street, Oklahoma City, Cleveland County, Oklahoma, 73170, United States
STE A
OKLAHOMA CITY, OK 731704546
Phone: (918) 599-3740
Type: Mailing
406 N PECAN ST STE A
NOWATA, OK 740482638
Phone: (191) 832-7025
Type: Mailing
500 STATE HOSPITAL DR
OSAWATOMIE, KS 660641813
Phone: (913) 755-7000
Type: Location
700, South Penn Avenue, Bartlesville, Washington County, Oklahoma, 74003, United States
BARTLESVILLE, OK 74003
Phone: (918) 337-8080
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: 2017-10-23
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 |
|---|---|---|---|---|
| I20171012001793 | I | Nurse Practitioner | OK | TBD |
| I20171023002981 | I | Nurse Practitioner | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK |
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