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MS. MAYRA CRUZ KOEDAM FNP-C
NPI 1346695178
Nurse Practitioner - Family in Dallas, TX

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
8160 WALNUT HILL LN STE 306, DALLAS, TX 75231(214) 345-8060(214) 345-8229 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Ms. Mayra Cruz Koedam Fnp-c NPPES

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

MS. MAYRA CRUZ KOEDAM FNP-C (NPI 1346695178) is an individual family provider in Dallas, Texas, licensed in Texas (AP130975) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346695178
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MAYRA CRUZ KOEDAMCredential: FNP-C
Location Address8160 WALNUT HILL LN STE 306Dallas, TX 75231-4391
Mailing Address8160 Walnut Hill Lane, Suite 306Dallas, TX 75231 · (214) 345-8060 · Fax (214) 345-8229
Phone(214) 345-8060
Fax(214) 345-8229
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1346695178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP130975
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8160 WALNUT HILL LN STE 306, Dallas, TX 75231
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mayra Cruz Koedam Fnp-c 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 ID2567745615
PECOS Enrollment IDI20170215001079
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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 3

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

EMMA CUMMINS
Physician Assistant
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231
Dallas County (214) 345-8060
CAROLYN CONKLIN NP-C
Nurse Practitioner (Acute Care)
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231
Dallas County (214) 345-8060
ANN E. LUTICH, MD PA
Clinic/Center (Medical Specialty)
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231
Dallas County (214) 373-7800

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 Mayra Koedam's NPI number?

The NPI number for Mayra Koedam is 1346695178. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Mayra Koedam located?

Mayra Koedam practices at 8160 Walnut Hill Ln Ste 306, Dallas, TX 75231. The listed phone number is (214) 345-8060.

What is Mayra Koedam's specialty?

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

Is Mayra Koedam enrolled in Medicare?

Yes. Mayra Koedam 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.

What insurance does Mayra Koedam accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mayra Koedam 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 Mayra Koedam was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.