MINDY L DAHL (PAC) – Medical Physician Assistant, NPI 1477737278
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MINDY L DAHL (PAC)
Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Texas, 79407, United States
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States
LUBBOCK, TX 794151410
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Mailing
4515 Marsha Sharp Fwy
Lubbock, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
16101 Cantrell Rd Ste 114
Little Rock, AR 722234578
Phone: (501) 300-2391
Type: Location
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 722023500
Phone: (501) 364-1100
Fax: (501) 334-4082
Type: Mailing
2601 GENE GEORGE BLVD
SPRINGDALE, AR 727620845
Phone: (479) 725-6800
Fax: (479) 725-6582
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($36).
Total Amount
$113
General + Research + Ownership
Payments
5
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $36 |
| BETA BIONICS, INC. | $31 |
| Dexcom, Inc. | $29 |
| Kyowa Kirin, Inc. | $18 |
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: 2024-04-25
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 |
|---|---|---|---|---|
| I20240425003407 | I | Physician Assistant | AR | 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 79407)
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