Individual provider Active NPI

Clare Dodson, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1306454699
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1000163 Issued in TX
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 389-5000
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1000163 TX Primary

Addresses

Primary practice location

2101 Pease St
Harlingen, TX 78550-8307

Mailing address

2101 Pease St
Harlingen, TX 78550-8307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828000262 TX Practitioner - Nurse Practitioner 6103243753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1000163TXMDLand Ambulance

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 24, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 24, 2020 Accepting new patients
Superior Wound Care LLC CurrentSince Nov 1, 2025 Accepting new patients
Gulf Coast Intensivists, PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1306454699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1000163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.