LYDIA BEAULIEU-DODD – Family Nurse Practitioner, NPI 1104235498

LYDIA BEAULIEU-DODD is a healthcare provider. based in Tamarac, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP2863042 (FL). The NPI Number for LYDIA BEAULIEU-DODD is 1104235498

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA BEAULIEU-DODD
NPI
1104235498
Phone
(954) 303-3839
Address
5720 S PLUM BAY PKWY
Enumeration Date
12 August 2014
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613610065
Graduation Year
2014 (12 years ago)
PAC ID
8022336551
Group Practice PAC ID
9638275670
Professional Enrollment ID
I20150414001159
Address ID
FL334862337BO951XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for LYDIA BEAULIEU-DODD

  • 5720 S PLUM BAY PKWY

    TAMARAC, FL 333216300

    Phone: (954) 303-3839

    Fax: (561) 347-1945

    Type: Mailing

  • 951 NW 13TH ST

    SUITE 4D

    BOCA RATON, FL 334862359

    Phone: (561) 361-0065

    Fax: (561) 347-1945

    Type: Location

  • 10381 LONE STAR PL

    DAVIE, FL 333281345

    Phone: (954) 303-3839

    Fax: (561) 347-1945

    Type: Mailing

  • 951 NW 13TH ST STE 1C

    BOCA RATON, FL 334862337

    Phone: (561) 361-0065

    Fax: (561) 347-1945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($355).

Total Amount

$420

General + Research + Ownership

Payments

8

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150414001159INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes3220$0
View full utilization report →

Insurance plans in this area (ZIP 33321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638275670View full group profile
NameSpecialtyState
General Surgery, Plastic And Reconstructive SurgeryFL

Reviews

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Frequently asked questions

What is the registry number for LYDIA BEAULIEU-DODD?
The registry entry for LYDIA BEAULIEU-DODD shows NPI 1104235498.
Is LYDIA BEAULIEU-DODD currently accepting referrals based on NPI status?
Registry metadata lists LYDIA BEAULIEU-DODD as active.
What type of care does LYDIA BEAULIEU-DODD provide?
LYDIA BEAULIEU-DODD's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LYDIA BEAULIEU-DODD?
LYDIA BEAULIEU-DODD is associated with Tamarac, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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