KAILEY CLAIRE MATACONIS DODSON MSN, APRN, FNP-C
NPI 1649002619
Nurse Practitioner in Bossier City, LA

Q: What is Kailey Dodson's NPI number?

The NPI number for Kailey Dodson is 1649002619. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Q: What is Kailey Dodson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kailey Dodson was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 17, 2024PECOS EnrolledAccepts Medicare Assignment

2449 HOSPITAL DR STE 200, BOSSIER CITY, LA 71111(318) 212-7841(318) 212-7846 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2024, Aug 17, 2024 (2 updates tracked since 2024).

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About Kailey Claire Mataconis Dodson Msn, Aprn, Fnp-c NPPES

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

KAILEY CLAIRE MATACONIS DODSON MSN, APRN, FNP-C (NPI 1649002619) is an individual nurse practitioner in Bossier City, Louisiana, licensed in Louisiana (210588) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649002619

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAILEY CLAIRE MATACONIS DODSONCredential: MSN, APRN, FNP-C

Location Address2449 HOSPITAL DR STE 200Bossier City, LA 71111-1905

Mailing Address2449 Hospital Dr Ste 200Bossier City, LA 71111-1905 · (318) 212-7841 · Fax (318) 212-7846

Phone(318) 212-7841

Fax(318) 212-7846

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 17, 2024

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1649002619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in LA · 210588

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2449 HOSPITAL DR STE 200, Bossier City, LA 71111

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Accepted Insurance

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

Kailey Claire Mataconis Dodson Msn, Aprn, 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 ID9830621937

PECOS Enrollment IDI20241014004451

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.

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 7

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

DR. VIKRAM CHATRATH M.D.

Orthopaedic Surgery