ANASTASIA DEROUSSEL NP NPI 1548793631

NPI Information

  • NPI: 1548793631
  • Provider Name: ANASTASIA DEROUSSEL, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1202 W CHEROKEE ST STE G
    WAGONER, OK
    ZIP 74467
  • Phone: (918) 914-5533

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NPI Details

Anastasia Deroussel, NP is a family nurse practitioner in Wagoner, OK with 9 years of experience. Anastasia Deroussel, NP NPI is 1548793631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1202 W CHEROKEE ST STE G
WAGONER, OK
ZIP 74467-629
Phone: (918) 914-5533
Fax: (918) 485-6020

The NPI 1548793631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 3/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse727314-1NEW YORKNo
2363LF0000XNurse PractitionerFamilyF341382-1NEW YORKNo
3363LG0600XNurse PractitionerGerontologyR0129494OKLAHOMANo
4363LF0000XNurse PractitionerFamilyR0129494OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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