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: July 19, 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
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
8160 WALNUT HILL LN STE 306, Dallas, TX 75231

Accepted 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.

Clinic/Center (Medical Specialty)
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231
Nurse Practitioner (Acute Care)
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231
Physician Assistant
8160 WALNUT HILL LN STE 306
DALLAS, TX 75231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346695178, enumerated as an "individual" on April 29, 2016.

The provider is located at 8160 WALNUT HILL LN STE 306 DALLAS, TX 75231 and the phone number is (214) 345-8060.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.