MRS. ROBERTA ANN DACUS (ARNP) – Family Nurse Practitioner, NPI 1407835101
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. ROBERTA ANN DACUS (ARNP)
3311, North Lamar Boulevard, Central Austin, Austin, Travis County, Texas, 78705, United States
AUSTIN, TX 787052016
Phone: (512) 975-7791
Fax: (512) 323-0643
Type: Location
Avery Building, 1555, University Boulevard, Stoney Brook, Round Rock, Williamson County, Texas, 78665, United States
ROUND ROCK, TX 786658017
Phone: (512) 245-2161
Fax: (512) 245-2711
Type: Mailing
131 S Dearborn St Ste 1025
Chicago, IL 606035517
Phone: (917) 261-4414
Type: Location
1110 N Virgil Ave
Los Angeles, CA 900292016
Phone: (917) 261-4414
Type: Location
120 HORIZON RIDGE CV
LIBERTY HILL, TX 786422079
Phone: (915) 208-3468
Type: Mailing
530 5TH AVE FL 10
NEW YORK, NY 100365114
Phone: (917) 261-4414
Type: Location
245 5TH AVE FL 3
NEW YORK, NY 100168728
Phone: (917) 261-4414
Fax: (512) 323-0643
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2023-09-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($53).
Total Amount
$53
General + Research + Ownership
Payments
1
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $53 |
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: 2009-02-02
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 |
|---|---|---|---|---|
| I20090202000325 | 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 78705)
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