Individual provider Active NPI

Karen J Dodge, NP

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1669824470
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129641 Issued in TX
Practice address
3200 Colorado Blvd
Denton, TX 76210-6874
Phone
(940) 600-5311
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1129641 TX Primary

Addresses

Primary practice location

3200 Colorado Blvd
Denton, TX 76210-6874

Mailing address

3200 Colorado Blvd Ste 202
Denton, TX 76210-6876
Phone (940) 600-5311

Other names 1

  • Karen Dodge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160726002957 MO Practitioner - Nurse Practitioner 3375836406
I20250827000012 TX Practitioner - Nurse Practitioner 3375836406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Be Well Primary Care Medicine PLLCGroup PAC ID 7517225675, 8 clinicians

Practice addresses (Care Compare)

721 Southeast Pkwy
Azle, TX 76020-3634
Phone (817) 270-5437

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1129641TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Care Medicine PLLC CurrentSince Jun 1, 2025 Accepting new patients
Serafini Medical, P.C. PastSince Oct 20, 2014 Accepting new patients
Heal Well Wound Care LLC PastSince Jul 28, 2024 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

721 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-3627

3200 Colorado Blvd
Ste 202
Denton, TX 76210
Phone (940) 381-0055

3025 N Tarrant Pkwy
Ste 320
Fort Worth, TX 76177
Phone (682) 593-6660

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1669824470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COLORADO BLVD STE 202",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106876",
            "telephone_number": "940-600-5311",
            "fax_number": "888-494-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106874",
            "telephone_number": "940-600-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DODGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.