ERIN NICHOLE ODDO (PA-C) – Physician Assistant, NPI 1457843724

ERIN NICHOLE ODDO (PA-C) is a healthcare provider. based in Cedar park, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12289 (TX). The NPI Number for ERIN NICHOLE ODDO (PA-C) is 1457843724

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ERIN NICHOLE ODDO (PA-C)
NPI
1457843724
Phone
(512) 294-9709
Address
1606 PAGEDALE DR
Enumeration Date
3 June 2018
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128561000
Graduation Year
2018 (8 years ago)
PAC ID
4981099371
Group Practice PAC ID
2163842295
Professional Enrollment ID
I20220322001575
Address ID
TX765426538KI3202XDRXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ERIN NICHOLE ODDO (PA-C)

  • 1606, Pagedale Drive, Cedar Park, Williamson County, Texas, 78613, United States

    CEDAR PARK, TX 786135840

    Phone: (512) 294-9709

    Type: Mailing

  • 1201 W LOUIS HENNA BLVD

    AUSTIN, TX 786812569

    Phone: (512) 248-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-22

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
I20220322001575IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78613)

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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: 2163842295View full group profile
NameSpecialtyState
Physician AssistantTX
Physical Therapist In Private PracticeTX
Physician AssistantMD
Physical Therapist In Private PracticeTN
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I verify ERIN NICHOLE ODDO (PA-C) with an NPI only?
You can start verification with NPI 1457843724 for ERIN NICHOLE ODDO (PA-C), then check state licensing separately.
Is ERIN NICHOLE ODDO (PA-C) listed as active for patients and plans?
The listing shows ERIN NICHOLE ODDO (PA-C) as active in the NPI system.
What taxonomy line describes ERIN NICHOLE ODDO (PA-C)?
For research purposes, treat ERIN NICHOLE ODDO (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is ERIN NICHOLE ODDO (PA-C) based?
ERIN NICHOLE ODDO (PA-C) is tied to Cedar Park, Texas in the data we show; additional addresses may exist on the full record.
Is the information about ERIN NICHOLE ODDO (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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