MR. DYKSTRA FREEMAN (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578042727
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. DYKSTRA FREEMAN (NP)
5800 PRESTON OAKS RD APT 1086
DALLAS, TX 752548709
Phone: (337) 305-1602
Type: Mailing
5800 Preston Oaks Rd Apt 1086
Dallas, TX 752548709
Phone: (337) 305-1602
Type: Location
John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044917
Phone: (817) 702-3636
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $982.
Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Indivior Inc. ($200).
Total Amount
$982
General + Research + Ownership
Payments
48
Total payment records
General Amount
$982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $200 |
| ABBVIE INC. | $140 |
| Otsuka America Pharmaceutical, Inc. | $134 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $105 |
| Lundbeck LLC | $105 |
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: 2019-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190325000810 | I | Nurse Practitioner | TX | TBD |
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.
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 75254)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Psychiatry, Sleep Medicine | TX | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | WA | |
| - | TX | |
| Nurse Practitioner | TX |
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