Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANITRA ADAMS
NPI 1417660390
Nurse Practitioner - Psychiatric/Mental Health in Lawton, OK

Q: What is Anitra Adams's NPI number?

The NPI number for Anitra Adams is 1417660390. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Q: What is Anitra Adams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Anitra Adams was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.

Active since January 05, 2023PECOS Enrolled

5404 SW LEE BLVD, LAWTON, OK 73505(580) 355-5242(580) 355-5245 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 21, 2026, Jan 5, 2023 (2 updates tracked since 2023).

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About Anitra Adams NPPES

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

ANITRA ADAMS (NPI 1417660390) is an individual psychiatric/mental health provider in Lawton, Oklahoma, licensed in Oklahoma (228376) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417660390

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANITRA ADAMS

Location Address5404 SW LEE BLVDLawton, OK 73505-9521

Mailing Address3401 W Gore BlvdLawton, OK 73505-6300 · (580) 355-8620

Phone(580) 355-5242

Fax(580) 355-5245

Sole ProprietorNo

Enumeration DateJanuary 5, 2023

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1417660390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OK · 228376

Also ListedRegistered NurseTaxonomy 163W00000X · License R0106763 (OK)

5404 SW LEE BLVD, Lawton, OK 73505

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Secondary Practice Locations 2

Location 1602 SW 38th StLawton, OK 73505-6912 · Phone (580) 248-5780

Location 23401 W Gore BlvdLawton, OK 73505-6332 · Phone (580) 355-8620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anitra Adams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHONG LUU D.O

Family Medicine