MRS. MARY TERESE DODD FNP
NPI 1386367381
Nurse Practitioner - Family in Fortuna, CA
About Mrs. Mary Terese Dodd Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY TERESE DODD FNP (NPI 1386367381) is an individual family provider in Fortuna, California, licensed in California (95022687) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Terese Dodd Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mary Dodd reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eureka, CA 95501
- Reassigned Medicare billing, California enrollment
- 111 clinicians in this Medicare group
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 103 clinicians in this Medicare group
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 194 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dodd's NPI number?
The NPI number for Mary Dodd is 1386367381. It was assigned to this individual provider in the NPPES registry on September 23, 2022.
Where is Mary Dodd located?
Mary Dodd practices at 874 Main St, Fortuna, CA 95540. The listed phone number is (707) 725-3334.
What is Mary Dodd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Dodd enrolled in Medicare?
Yes. Mary Dodd is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Dodd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dodd reassigns Medicare benefits to 3 organizations: Altea Medical California PC (Eureka, CA), Gn Medical Associates, Inc. (Costa Mesa, CA) and Careconnectmd Ca PC (Costa Mesa, CA). 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 Dodd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Dodd was last updated on September 23, 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.
# Mrs. Mary Terese Dodd, FNP · NPI 1386367381
Family physician in Fortuna, California. Individual provider, active in the CMS NPPES registry since September 23, 2022.
## Identity
- **NPI:** 1386367381 (Entity type: Individual)
- **Enumerated:** September 23, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022687 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 874 MAIN ST, Fortuna, CA 95540-1926
- **Phone:** (707) 725-3334 · **Fax:** (707) 725-2455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Altea Medical California PC (NPI 1174302954, Eureka, CA); Gn Medical Associates, Inc. (NPI 1275576522, Costa Mesa, CA); Careconnectmd Ca PC (NPI 1366063125, Costa Mesa, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386367381) · Data from the CMS NPPES public registry.