ANNA DELAINE DODD (FNP) – Family Nurse Practitioner, NPI 1023582673

ANNA DELAINE DODD (FNP) is a healthcare provider. based in Bandon, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 201811350NP-PP (OR). The NPI Number for ANNA DELAINE DODD (FNP) is 1023582673

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANNA DELAINE DODD (FNP)
NPI
1023582673
Phone
(208) 982-9571
Address
2678 CEDAR LOOP
Enumeration Date
16 January 2019
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413963111
Graduation Year
2018 (8 years ago)
PAC ID
6608117510
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20190402002364
Address ID
OR974119157BA110XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for ANNA DELAINE DODD (FNP)

  • 2678, Cedar Loop, Bandon, Coos County, Oregon, 97411, United States

    BANDON, OR 974118894

    Phone: (208) 982-9571

    Type: Mailing

  • 1793, 13th Street Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973022541

    Phone: (208) 982-9571

    Type: Location

  • 110 10TH ST SE

    BANDON, OR 974119157

    Phone: (541) 347-5191

    Fax: (541) 347-2015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,170.

Total Amount is formed as General ($1,170) + Research ($0) + Ownership ($0) = $1,170.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($395).

Total Amount

$1,170

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2019-04-02

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
I20190402002364INurse PractitionerORTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,095194$0
99213Established patient office or other outpatient visit, 20-29 minutes565419$0
17000Destruction of precancer skin growth, 1 growth347271$0
17110Destruction of skin growth, 1-14 growths200176$0
99214Established patient office or other outpatient visit, 30-39 minutes174146$0
View full utilization report →

Insurance plans in this area (ZIP 97411)

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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: 5890863492View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
D E R M A T O L O G YOR
Physician AssistantWA
D E R M A T O L O G YWA
Nurse PractitionerWA
D E R M A T O L O G YWA
-WA
-OR
-OR
Physician AssistantWA

Reviews

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Frequently asked questions

Can I use this page to confirm ANNA DELAINE DODD (FNP)'s NPI?
Yes. ANNA DELAINE DODD (FNP) is listed with NPI 1023582673 in the public NPI dataset.
Can I rely on ANNA DELAINE DODD (FNP) being an active provider?
As of the registry snapshot, ANNA DELAINE DODD (FNP) is marked active.
What is ANNA DELAINE DODD (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for ANNA DELAINE DODD (FNP) here. Clinical services aligned with this taxonomy classification.
Where is ANNA DELAINE DODD (FNP) based?
ANNA DELAINE DODD (FNP) is tied to Bandon, Oregon in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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