Individual provider Active NPI

Yana N Dudko, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Denton, TX
National Provider Identifier
1427405372
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP130518 Issued in TX
Practice address
3315 Colorado Blvd Ste 102
Denton, TX 76210-6885
Phone
(940) 320-1708
Fax
(940) 565-5457
NPI assigned
May 20, 2016
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP130518 TX Primary

Addresses

Primary practice location

3315 Colorado Blvd Ste 102
Denton, TX 76210-6885

Mailing address

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone (940) 320-1708

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
I20160708000110 TX Practitioner - Nurse Practitioner 4385936558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3315 Colorado Blvd
Suite 102
Denton, TX 76210-6885
Phone (940) 320-1708

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
78.39
Promoting interoperability
100
Improvement activities
40
Cost
77.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130518TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates CurrentSince May 23, 2016 Accepting new patients
North Texas Kidney Disease Associates CurrentSince May 23, 2016 Accepting new patients

Locations

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

Interoperability endpoints

  • Direct secure messaging: yana.dudko.1@23918.direct.athenahealth.com
  • Direct secure messaging: yana.dudko@northtexaskidney.directbygreenway.com

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1427405372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 COLORADO BLVD STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106885",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDKO",
        "first_name": "YANA",
        "middle_name": "N",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP130518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.