DEBRA RENEE QUEEN (R.D.) – Registered Dietitian, NPI 1659423184
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEBRA RENEE QUEEN (R.D.)
PO BOX 487
POTEAU, OK 749530487
Phone: (918) 721-9290
Fax: (918) 658-2663
Type: Mailing
109 CALIFORNIA ST
PO BOX 577
CARTERVILLE, IL 62918
Phone: (618) 519-9200
Type: Mailing
16511 state highway 83
Poteau, OK 749530487
Phone: (918) 721-9290
Fax: (918) 658-2663
Type: Location
Old State Highway 112, Poteau, LeFlore County, Oklahoma, 74953, United States
POTEAU, OK 749530487
Phone: (918) 721-9290
Fax: (918) 658-2663
Type: Location
400 S LEWIS LN
CARBONDALE, IL 629013547
Phone: (618) 519-9200
Fax: (618) 519-9961
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: 2024-11-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241104000080 | I | Registered Dietitian Or Nutrition Professional | IL | 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 74953)
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