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ANNY LOU MANDAPAT DUNHAM APRN-CNP
NPI 1194368316
Nurse Practitioner - Family in Oklahoma City, OK

Active since October 21, 2019PECOS EnrolledAccepts Medicare Assignment
1142 SW 104TH STREET, OKLAHOMA CITY, OK 73139(405) 691-3100(405) 691-3106 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Oct 21, 2019 (2 updates tracked since 2019).

About Anny Lou Mandapat Dunham Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNY LOU MANDAPAT DUNHAM APRN-CNP (NPI 1194368316) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (101037) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194368316
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNY LOU MANDAPAT DUNHAMCredential: APRN-CNP
Location Address1142 SW 104TH STREETOklahoma City, OK 73139
Mailing Address13310 N Eastern AveOklahoma City, OK 73131-1816 · (405) 513-7333
Phone(405) 691-3100
Fax(405) 691-3106
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 21, 2019
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1194368316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 101037
1142 SW 104TH STREET, Oklahoma City, OK 73139
Open in Google Maps ↗

Other Names 1

Former Name (1)Anny Lou Lumanog Mandapat

Secondary Practice Locations 3

Location 11221 N Kelly Ave Ste BEdmond, OK 73003-4865 · Phone (405) 844-1663 · Fax (405) 285-4060
Location 212401 Oak Tree LnJones, OK 73049-8205 · Phone (405) 565-8710
Location 313310 N Eastern AveOklahoma City, OK 73131-1816 · Phone (405) 513-7333 · Fax (405) 413-7337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anny Lou Mandapat Dunham Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476926015
PECOS Enrollment IDI20230302001307
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
244 services73 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anny Lou Dunham's NPI number?

The NPI number for Anny Lou Dunham is 1194368316. It was assigned to this individual provider in the NPPES registry on October 21, 2019. The provider is also known as Anny Lou Lumanog Mandapat.

Where is Anny Lou Dunham located?

Anny Lou Dunham practices at 1142 SW 104th Street, Oklahoma City, OK 73139. The listed phone number is (405) 691-3100.

What is Anny Lou Dunham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anny Lou Dunham enrolled in Medicare?

Yes. Anny Lou Dunham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anny Lou Dunham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Anny Lou Dunham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anny Lou Dunham was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.