JAMIE G DODD (AGACNP) – Acute Care Nurse Practitioner, NPI 1023785045

JAMIE G DODD (AGACNP) is a healthcare provider. based in Texarkana, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 1048105 (TX). The NPI Number for JAMIE G DODD (AGACNP) is 1023785045

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE G DODD (AGACNP)
NPI
1023785045
Phone
(430) 200-4350
Address
5904 SUMMERFIELD DR
Enumeration Date
26 August 2021
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725176300
Graduation Year
2021 (5 years ago)
PAC ID
4486045655
Group Practice PAC ID
8022499912
Professional Enrollment ID
I20211222002095
Address ID
TX750255901PL7240XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JAMIE G DODD (AGACNP)

  • 5904 SUMMERFIELD DR

    TEXARKANA, TX 755034306

    Phone: (430) 200-4350

    Fax: (866) 337-1615

    Type: Location

  • 5012 US HWY 75, Suite 200

    Texoma Medical Center Dr #1

    Denison, TX 75020

    Phone: (903) 465-5012

    Type: Location

  • 5012 US HWY 75, SUITE 200

    TEXOMA MEDICAL CENTER DR #1

    DENISON, TX 75020

    Phone: (903) 465-5012

    Type: Location

  • 92 MEADOW HILL LN

    SHERMAN, TX 750905189

    Phone: (580) 579-1188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-12-29 • Largest payer in this snapshot: Medtronic, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$18
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: 2021-12-22

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
I20211222002095INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 8022499912View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does JAMIE G DODD (AGACNP) have a public NPI I can cite?
Public records show JAMIE G DODD (AGACNP) under NPI 1023785045.
Does the public listing show JAMIE G DODD (AGACNP) as active?
JAMIE G DODD (AGACNP)'s NPI record reflects an active status in NPPES.
What services align with JAMIE G DODD (AGACNP)'s listing?
JAMIE G DODD (AGACNP)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAMIE G DODD (AGACNP)?
JAMIE G DODD (AGACNP) is associated with Texarkana, Texas 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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