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MRS. DAWN RAE LIVINGSTON
NPI 1366209272
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment
523 S FANNIN AVE, TYLER, TX 75702(903) 535-9041(903) 630-2039 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Mar 6, 2024 (2 updates tracked since 2024).

About Mrs. Dawn Rae Livingston NPPES

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

MRS. DAWN RAE LIVINGSTON (NPI 1366209272) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (1154514) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gladewater, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366209272
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DAWN RAE LIVINGSTON
Location Address523 S FANNIN AVETyler, TX 75702-8204
Mailing Address658 Pyeatt DrGladewater, TX 75647-7842 · (903) 239-3239
Phone(903) 535-9041
Fax(903) 630-2039
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1366209272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1154514
523 S FANNIN AVE, Tyler, TX 75702
Open in Google Maps ↗

Secondary Practice Location 1

Location 1658 Pyeatt DrGladewater, TX 75647-7842 · Phone (903) 239-3239

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Dawn Rae Livingston 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 ID5193241917
PECOS Enrollment IDI20250424002295
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 75702 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.

Other Providers at the Same Location NPPES 2

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

KELVIN S DARR LPC, LADAC
Counselor (Professional)
523 S FANNIN AVE
TYLER, TX 75702
Smith County (903) 535-9041
ANGELICA MARIA LARIOS M.D., MPH
Psychiatry & Neurology (Psychiatry)
523 S FANNIN AVE
TYLER, TX 75702
Smith County (903) 535-9041

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 Dawn Livingston's NPI number?

The NPI number for Dawn Livingston is 1366209272. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Dawn Livingston located?

Dawn Livingston practices at 523 S Fannin Ave, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Dawn Livingston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dawn Livingston enrolled in Medicare?

Yes. Dawn Livingston 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 Dawn Livingston 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 Dawn Livingston 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 Dawn Livingston was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.