KAILEY CLAIRE MATACONIS DODSON MSN, APRN, FNP-C
NPI 1649002619
Nurse Practitioner in Bossier City, LA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kailey Dodson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 8 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.
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, LAPhysician 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.
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.
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
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 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.
Where is Kailey Dodson located?
Kailey Dodson practices at 2449 Hospital Dr Ste 200, Bossier City, LA 71111. The listed phone number is (318) 212-7841.
What is Kailey Dodson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kailey Dodson enrolled in Medicare?
Yes. Kailey Dodson 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.
Which organization bills Medicare for Kailey Dodson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kailey Dodson reassigns Medicare benefits to Wk Bossier Orthopedic & Sports (Bossier City, LA). The 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 Kailey Dodson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kailey Dodson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Kailey Dodson 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.
Is Kailey Dodson affiliated with any hospitals?
According to CMS data, Kailey Dodson is affiliated with Willis Knighton Medical Center.
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 2 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.
# Kailey Claire Mataconis Dodson, MSN, APRN, FNP-C · NPI 1649002619
Nurse Practitioner physician in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since August 17, 2024.
## Identity
- **NPI:** 1649002619 (Entity type: Individual)
- **Enumerated:** August 17, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 210588 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2449 HOSPITAL DR STE 200, Bossier City, LA 71111-1905
- **Phone:** (318) 212-7841 · **Fax:** (318) 212-7846
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wk Bossier Orthopedic & Sports (NPI 1588715791, Bossier City, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649002619) · Data from the CMS NPPES public registry.