LANE DUDO (FNP-C) – Nurse Practitioner, NPI 1164994430

LANE DUDO (FNP-C) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP139752 (TX). The NPI Number for LANE DUDO (FNP-C) is 1164994430

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LANE DUDO (FNP-C)
NPI
1164994430
Phone
(903) 606-8718
Address
910 E HOUSTON ST STE 550
Enumeration Date
26 December 2018
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035108718
Graduation Year
2018 (8 years ago)
PAC ID
7618214149
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20190122003491
Address ID
TX757028366TY910XXSTXX402
Telehealth
Yes

Contacts

Secure Messaging
lane.dudo2@christushealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness95
Years active:7State licenses:1Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LANE DUDO (FNP-C)

  • 910 E HOUSTON ST STE 550

    TYLER, TX 757028366

    Phone: (903) 606-8718

    Type: Location

  • 910 E HOUSTON ST STE 100

    TYLER, TX 757028363

    Phone: (903) 606-8718

    Fax: (903) 606-1218

    Type: Mailing

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • 134 LAKE LOU ELLA DR

    BULLARD, TX 757575499

    Phone: (903) 216-5101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $2,233.

Total Amount is formed as General ($2,233) + Research ($0) + Ownership ($0) = $2,233.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($1,056).

Total Amount

$2,233

General + Research + Ownership

Payments

53

Total payment records

General Amount

$2,233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-01-22

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
I20190122003491INurse 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 minutes528378$0
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
99443Telephone medical discussion with physician, 21-30 minutes2924$0
View full utilization report →

Insurance plans in this area (ZIP 75702)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What NPI should I save for LANE DUDO (FNP-C)?
Save NPI 1164994430 if you need a stable reference for LANE DUDO (FNP-C).
Is LANE DUDO (FNP-C) currently active in the NPI registry?
CMS-published data lists LANE DUDO (FNP-C) as an active registrant.
What kind of provider is LANE DUDO (FNP-C)?
The page reflects Nurse Practitioner for LANE DUDO (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for LANE DUDO (FNP-C)?
We surface Tyler, Texas for LANE DUDO (FNP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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