Kelly B Dodd, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Farmerville, LA
NPI 1124542519 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1124542519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP09516 (LA)
- Practice address
- 1025 Marion Hwy
Farmerville, LA 71241-9314 - Phone
- (318) 368-9745
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hulin Urgent Care Services LLC
Practice addresses (Care Compare)
117 N Service Rd E
Ruston, LA 71270-2347
Phone (337) 296-2527
Hospital & facility affiliations
- Fmol Health St Francis
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Improvement activities
- 40
- Cost
- 73.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618002900 | LA | Practitioner - Nurse Practitioner | 5395017206 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09516 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Louisiana Emergency Physicians, LLP | Current |
Accepting new patients | |
| Monroe Emergency Physicians LLC | Current |
Accepting new patients | |
| Ed Physicians of West Louisiana, LLC | Current |
Accepting new patients | |
| Northern Louisiana Emergency Physicians LLP | Current |
Accepting new patients |
Locations
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
Interoperability endpoints
- kdodd5267721@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09516 | LA | Yes |
Addresses
Primary practice location
1025 Marion Hwy
Farmerville, LA 71241-9314
Mailing address
197 Wells Rd
Downsville, LA 71234-3042
Other practice location 1
503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4200
Other names
- Kelly Phillips Dodd
Other providers in Farmerville, LA
- Darbonne Woods Charter School
- Darbonne Woods Charter School
- DH Express Transport LLC
- Megan Dibenedetto
- John Dick
- Casundra Denise Downs
- Dva Renal Healthcare Inc
- Casey Scarborough Eckhardt
- Farmerville Drug Co Inc
- Farmerville Nursing and Rehabilitation Center, LLC
All providers in Farmerville, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.