MARY DUTCHOVER FNP
NPI 1154730166
Nurse Practitioner - Family in New Boston, TX

Q: What is Mary Dutchover's NPI number?

The NPI number for Mary Dutchover is 1154730166. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Q: What is Mary Dutchover's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Dutchover was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 05, 2014PECOS EnrolledAccepts Medicare Assignment

910 JAMES BOWIE DR, NEW BOSTON, TX 75570(903) 614-5950(903) 614-5950 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, May 14, 2024, Nov 30, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Mary Dutchover Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DUTCHOVER FNP (NPI 1154730166) is an individual family provider in New Boston, Texas, licensed in Texas (AP125894) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154730166

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY DUTCHOVERCredential: FNP

Location Address910 JAMES BOWIE DRNew Boston, TX 75570-2335

Mailing Address919 Hidden RdgIrving, TX 75038-3813 · (469) 282-2711 · Fax (469) 282-2609

Phone(903) 614-5950

Fax(903) 614-5950

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 5, 2014

Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1154730166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP125894

910 JAMES BOWIE DR, New Boston, TX 75570

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13502 Richmond RdTexarkana, TX 75503-0705 · Phone (903) 614-5270

Location 2700 Davey Crockett Dr Ste 500New Boston, TX 75570-2336 · Phone (903) 614-5950

Other Identifiers 2

Medicaid200616050AOK

Medicaid350226201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Dutchover Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335457738

PECOS Enrollment IDI20151005002876

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mary Dutchover reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas

93 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

C H Wilkinson Physician Network

154 mi

Family Medicine

919 HIDDEN RDG, 6TH FLOOR
Irving, TX 75038

Reassigned Medicare billing, Texas enrollment
179 clinicians in this Medicare group

NPI 1457382947 (469) 282-2711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

146 services83 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services93 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

88 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

40 services24 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

35 services32 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

34 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services14 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

20 services18 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers11 claims11 services$189.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LETHA H COLQUITT FNP

Nurse Practitioner (Family)

910 JAMES BOWIE DR
NEW BOSTON, TX 75570

Bowie County (903) 614-5950

MARY P STANLEY ANP

Nurse Practitioner (Family)

910 JAMES BOWIE DR
NEW BOSTON, TX 75570

Bowie County (903) 614-5950

JASON D. MCCANDLESS P.A.

Physician Assistant (Medical)

910 JAMES BOWIE DR
NEW BOSTON, TX 75570

Bowie County (903) 614-5950

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 Mary Dutchover's NPI number?

The NPI number for Mary Dutchover is 1154730166. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Mary Dutchover located?

Mary Dutchover practices at 910 James Bowie Dr, New Boston, TX 75570. The listed phone number is (903) 614-5950.

What is Mary Dutchover's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Dutchover enrolled in Medicare?

Yes. Mary Dutchover is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Dutchover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dutchover reassigns Medicare benefits to 2 organizations: Christus Trinity Clinic Texas (Tyler, TX) and C H Wilkinson Physician Network (Irving, TX). Each 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 Mary Dutchover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dutchover accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Health Advantage and Octave and 1 other insurer list Mary Dutchover 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.

Is Mary Dutchover affiliated with any hospitals?

According to CMS data, Mary Dutchover is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Mary Dutchover was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.