MS. VANESSA LYNN BLUDAU (RN, FNP-C) – Family Nurse Practitioner, NPI 1063763670

MS. VANESSA LYNN BLUDAU (RN, FNP-C) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP-C. They hold a License No. 720581 (TX). The NPI Number for MS. VANESSA LYNN BLUDAU (RN, FNP-C) is 1063763670

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. VANESSA LYNN BLUDAU (RN, FNP-C)
NPI
1063763670
Phone
(214) 948-2076
Address
1411 N BECKLEY AVE
Enumeration Date
21 September 2012
Last Update Date
7 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4696873200
Graduation Year
2012 (14 years ago)
PAC ID
4486890704
Group Practice PAC ID
7719940774
Professional Enrollment ID
I20130411000147
Address ID
TX752042201DA2801XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MS. VANESSA LYNN BLUDAU (RN, FNP-C)

  • 1411 N BECKLEY AVE

    PAV III STE#152

    DALLAS, TX 752031259

    Phone: (214) 948-2076

    Fax: (214) 948-9990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,024.

Total Amount is formed as General ($1,024) + Research ($0) + Ownership ($0) = $1,024.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ViiV Healthcare Company ($619).

Total Amount

$1,024

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,024

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2013-04-11

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
I20130411000147INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 75203)

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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: 7719940774View full group profile

Reviews

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Frequently asked questions

What is MS. VANESSA LYNN BLUDAU (RN, FNP-C)'s NPI number?
MS. VANESSA LYNN BLUDAU (RN, FNP-C)'s NPI is 1063763670 — the number used across U.S. healthcare to identify this provider.
Would MS. VANESSA LYNN BLUDAU (RN, FNP-C) appear as active to a payer?
You can treat MS. VANESSA LYNN BLUDAU (RN, FNP-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. VANESSA LYNN BLUDAU (RN, FNP-C)?
At a glance, MS. VANESSA LYNN BLUDAU (RN, FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MS. VANESSA LYNN BLUDAU (RN, FNP-C) registered?
Use Dallas, Texas as the headline location for MS. VANESSA LYNN BLUDAU (RN, FNP-C) here.
When was this NPI issued?
Enumeration for MS. VANESSA LYNN BLUDAU (RN, FNP-C) is noted as September 21, 2012 where the registry provides it.

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