JUDY ANN DAO
NPI 1104507391
Nurse Practitioner - Family in Grand Prairie, TX
About Judy Ann Dao NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY ANN DAO (NPI 1104507391) is an individual family provider in Grand Prairie, Texas, licensed in Texas (1130095) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Judy Ann Dao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Judy Dao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Prairie, TX 75052
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Judy Dao's NPI number?
The NPI number for Judy Dao is 1104507391. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is Judy Dao located?
Judy Dao practices at 4927 Lake Ridge Pkwy Ste 148, Grand Prairie, TX 75052. The listed phone number is (972) 217-4203.
What is Judy Dao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Judy Dao enrolled in Medicare?
Yes. Judy Dao is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Judy Dao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judy Dao reassigns Medicare benefits to Primary Care Doctors Of North Texas PLLC (Grand Prairie, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Dao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Judy Dao accept?
Health plans from Blue Cross and Blue Shield of Texas list Judy Dao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Judy Dao was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Judy Ann Dao · NPI 1104507391
Family physician in Grand Prairie, Texas. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1104507391 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1130095 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4927 LAKE RIDGE PKWY STE 148, Grand Prairie, TX 75052-3000
- **Phone:** (972) 217-4203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Primary Care Doctors Of North Texas PLLC (NPI 1760147490, Grand Prairie, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104507391) · Data from the CMS NPPES public registry.