LAUREN MAE DAMBOLD (NP) – Nurse Practitioner, NPI 1396298006
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LAUREN MAE DAMBOLD (NP)
6021 MORRISS RD STE 100
FLOWER MOUND, TX 750283762
Phone: (214) 247-6757
Fax: (877) 370-4745
Type: Mailing
4701, Old Shepard Place, Plano, Collin County, Texas, 75093, United States
SUITE 260
PLANO, TX 75093
Phone: (972) 236-3300
Fax: (972) 236-3300
Type: Mailing
Fuller Drive, Irving, Dallas County, Texas, 75038, United States
IRVING, TX 750386530
Phone: (972) 870-5511
Fax: (972) 870-5512
Type: Location
6021 MORRISS RD STE 110A
FLOWER MOUND, TX 750283764
Phone: (214) 223-0637
Fax: (877) 370-4745
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($284).
Total Amount
$583
General + Research + Ownership
Payments
21
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $284 |
| ABBVIE INC. | $268 |
| Boston Scientific Corporation | $32 |
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: 2019-06-19
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 |
|---|---|---|---|---|
| I20190619000851 | 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 75028)
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