JOLIE N DUNHAM (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1558669838

JOLIE N DUNHAM (ACNP-BC) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 704073 (TX). The NPI Number for JOLIE N DUNHAM (ACNP-BC) is 1558669838

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JOLIE N DUNHAM (ACNP-BC)
NPI
1558669838
Phone
(214) 947-4457
Address
1411 N BECKLEY AVE
Enumeration Date
10 March 2011
Last Update Date
14 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888463384
Graduation Year
2010 (16 years ago)
PAC ID
1658559794
Group Practice PAC ID
1052500360
Professional Enrollment ID
I20110621000082
Address ID
TX750402785GA5435XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for JOLIE N DUNHAM (ACNP-BC)

  • 1411 N BECKLEY AVE

    PAVILLION 3, SUITE 268

    DALLAS, TX 752031259

    Phone: (214) 947-4457

    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)

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: 2011-06-21

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
I20110621000082INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes27395$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1716$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: 1052500360View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOLIE N DUNHAM (ACNP-BC)?
JOLIE N DUNHAM (ACNP-BC) — NPI 1558669838 — is the standard way to identify this listing.
Is JOLIE N DUNHAM (ACNP-BC) still practicing?
JOLIE N DUNHAM (ACNP-BC) is currently listed as active in the public NPI registry.
What taxonomy line describes JOLIE N DUNHAM (ACNP-BC)?
For research purposes, treat JOLIE N DUNHAM (ACNP-BC) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does JOLIE N DUNHAM (ACNP-BC) list a practice location?
Patients near Dallas, Texas may find JOLIE N DUNHAM (ACNP-BC) in results; validate coverage separately.
Why does JOLIE N DUNHAM (ACNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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