DORIS CUDJOE (PMHNP -BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669098356

DORIS CUDJOE (PMHNP -BC) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP -BC. They hold a License No. AP144120 (TX). The NPI Number for DORIS CUDJOE (PMHNP -BC) is 1669098356

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DORIS CUDJOE (PMHNP -BC)
NPI
1669098356
Phone
(682) 521-5673
Address
2436 SILVERADO TRL
Enumeration Date
18 June 2020
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8337665613
Graduation Year
2019 (7 years ago)
PAC ID
6305240169
Group Practice PAC ID
9638579758
Professional Enrollment ID
I20210802002446
Address ID
TX752877303DA17480PKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DORIS CUDJOE (PMHNP -BC)

  • 2436 SILVERADO TRL

    GRAND PRAIRIE, TX 750528622

    Phone: (682) 521-5673

    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 108 Open Payments records for all available years, with a total value of $3,627.

Total Amount is formed as General ($3,627) + Research ($0) + Ownership ($0) = $3,627.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($1,013).

Total Amount

$3,627

General + Research + Ownership

Payments

108

Total payment records

General Amount

$3,627

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

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: 2022-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210802002446INurse PractitionerTXTBD
I20220104001875INurse PractitionerCATBD

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 75052)

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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: 9638579758View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerMO
Clinical Social WorkerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Psychiatry, NeuropsychiatryCA

Reviews

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Frequently asked questions

What identifier follows DORIS CUDJOE (PMHNP -BC) across health systems?
The NPI 1669098356 uniquely identifies DORIS CUDJOE (PMHNP -BC) in U.S. healthcare data.
Does the public listing show DORIS CUDJOE (PMHNP -BC) as active?
DORIS CUDJOE (PMHNP -BC)'s NPI record reflects an active status in NPPES.
What services align with DORIS CUDJOE (PMHNP -BC)'s listing?
DORIS CUDJOE (PMHNP -BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DORIS CUDJOE (PMHNP -BC)?
The directory associates DORIS CUDJOE (PMHNP -BC) with Grand Prairie, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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