DORETTA SPATES (ANP-C) – Adult Health Nurse Practitioner, NPI 1912245044
Adult Health Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DORETTA SPATES (ANP-C)
655 PROMENADE PARKWAY
1013
IRVING, TX 75039
Phone: (817) 308-5442
Fax: (972) 767-3424
Type: Mailing
4434 SAINT ANDREWS BLVD
IRVING, TX 750386442
Phone: (817) 308-5442
Type: Mailing
3246 PRESTON RD STE 620
FRISCO, TX 750349077
Phone: (972) 430-7477
Fax: (972) 767-3424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $666.
Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: ABBVIE INC. ($505).
Total Amount
$666
General + Research + Ownership
Payments
10
Total payment records
General Amount
$666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $505 |
| Galderma Laboratories, L.P. | $162 |
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: 2013-07-01
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 |
|---|---|---|---|---|
| I20130701000746 | 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 75039)
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