JUDY PRATHOUMVANH APRN
NPI 1215531231
Nurse Practitioner - Acute Care in Dallas, TX

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
1441 N BECKLEY AVE, DALLAS, TX 75203(214) 960-5681 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2025, Nov 30, 2020 (2 updates tracked since 2020).

About Judy Prathoumvanh Aprn NPPES

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

JUDY PRATHOUMVANH APRN (NPI 1215531231) is an individual acute care provider in Dallas, Texas, licensed in Texas (1019614) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215531231
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJUDY PRATHOUMVANHCredential: APRN
Location Address1441 N BECKLEY AVEDallas, TX 75203-1201
Mailing Address221 W Colorado Blvd, Pav 2/suite 525Dallas, TX 75208 · (817) 851-5358
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1215531231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1019614
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1019614 (TX)
1441 N BECKLEY AVE, Dallas, TX 75203

Accepted 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

Judy Prathoumvanh Aprn 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 ID5890107726
PECOS Enrollment IDI20201216002840
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

3

Medicare enrollment records show Judy Prathoumvanh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
221 W COLORADO BLVD STE 525
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 254 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1818 CORSICANA ST
Dallas, TX 75201
  • Reassigned Medicare billing, Texas enrollment
  • 808 clinicians in this Medicare group
Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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.

Hospital Affiliations CMS Care Compare

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75203 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1441 N BECKLEY AVE
DALLAS, TX 75203
Nurse Practitioner (Acute Care)
1441 N BECKLEY AVE
DALLAS, TX 75203
General Acute Care Hospital
1441 N BECKLEY AVE
DALLAS, TX 75203
Physician Assistant
1441 N BECKLEY AVE
DALLAS, TX 75203
Student in an Organized Health Care Education/Training Program
1441 N BECKLEY AVE
DALLAS, TX 75203
Nurse Practitioner (Acute Care)
1441 N BECKLEY AVE
DALLAS, TX 75203
Pathology (Anatomic Pathology & Clinical Pathology)
1441 N BECKLEY AVE
DALLAS, TX 75203
Student in an Organized Health Care Education/Training Program
1441 N BECKLEY AVE
DALLAS, TX 75203

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 Prathoumvanh's NPI number?

The NPI number for Judy Prathoumvanh is 1215531231. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Judy Prathoumvanh located?

Judy Prathoumvanh practices at 1441 N Beckley Ave, Dallas, TX 75203. The listed phone number is (214) 960-5681.

What is Judy Prathoumvanh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Judy Prathoumvanh enrolled in Medicare?

Yes. Judy Prathoumvanh 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 Judy Prathoumvanh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Prathoumvanh reassigns Medicare benefits to 3 organizations: Dallas Pulmonary & Critical Care PA (Dallas, TX), Dallas County Hospital District (Dallas, TX) and University Of Texas Southwestern Medical Center At Dallas (Dallas, 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 Judy Prathoumvanh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judy Prathoumvanh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Judy Prathoumvanh 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 Judy Prathoumvanh affiliated with any hospitals?

According to CMS data, Judy Prathoumvanh is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Judy Prathoumvanh was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.