DIANA ANDERSON PA-C
NPI 1740824630
Physician Assistant - Medical in Oklahoma City, OK

Q: What is Diana Anderson's NPI number?

The NPI number for Diana Anderson is 1740824630. It was assigned to this individual provider in the NPPES registry on November 4, 2019. The provider is also known as Diana Wiley.

Q: What is Diana Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Diana Anderson was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 04, 2019PECOS Enrolled

920 STANTON L YOUNG BLVD STE 2040, OKLAHOMA CITY, OK 73104(405) 271-4113 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2020, Nov 4, 2019 (2 updates tracked since 2019).

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About Diana Anderson Pa-c NPPES

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

DIANA ANDERSON PA-C (NPI 1740824630) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (PA3111) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740824630

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDIANA ANDERSONCredential: PA-C

Location Address920 STANTON L YOUNG BLVD STE 2040Oklahoma City, OK 73104-5036

Mailing Address920 Stanton L Young Blvd Ste 2040Oklahoma City, OK 73104-5036 · (405) 271-4113

Phone(405) 271-4113

Sole ProprietorNo

Enumeration DateNovember 4, 2019

Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration

NPPES CertifiedOctober 1, 2020

✔ NPI 1740824630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · PA3111

920 STANTON L YOUNG BLVD STE 2040, Oklahoma City, OK 73104

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Other Names 1

Former Name (1)Diana Wiley

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 (PECOS)

Diana Anderson Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services18 patients

Other Providers at the Same Location NPPES 9

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

DR. SOROUSH KAKAWAND MD. MSC.

Psychiatry & Neurology (Neurology)