MANDY JO DOBROWOLSKI FNP
NPI 1780357897
Nurse Practitioner - Family in Canyon, TX

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Aug 24, 2023, Jun 5, 2023 and 3 more (6 updates tracked since 2021).

About Mandy Jo Dobrowolski Fnp NPPES

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

MANDY JO DOBROWOLSKI FNP (NPI 1780357897) is an individual family provider in Canyon, Texas, licensed in Texas (1035146) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780357897
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANDY JO DOBROWOLSKICredential: FNP
Location Address911 23RD STCanyon, TX 79015-4645
Mailing Address911 23rd StCanyon, TX 79015-4645 · (806) 655-2104
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 26, 2021
Last NPPES UpdateSeptember 10, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1780357897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1035146

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

Mandy Jo Dobrowolski Fnp 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 ID4789072067
PECOS Enrollment IDI20211020000451
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.

Areas of Expertise CMS Part B claims 18

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.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
227 services227 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services72 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
79 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Quail Creek Surgical Hospital

Acute Care Hospitals · Amarillo, TX
OwnershipProprietary
CMS Certification Number450875
Location6819 Plum CreekAmarillo, TX 79124 · Potter County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79015 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$184.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
911 23RD ST
CANYON, TX 79015
Nurse Practitioner (Family)
911 23RD ST
CANYON, TX 79015
Family Medicine
911 23RD ST
CANYON, TX 79015
Physician Assistant
911 23RD ST
CANYON, TX 79015
Nurse Practitioner
911 23RD ST
CANYON, TX 79015
Nurse Practitioner (Family)
911 23RD ST
CANYON, TX 79015
Nurse Practitioner (Family)
911 23RD ST
CANYON, TX 79015
Family Medicine
911 23RD ST
CANYON, TX 79015

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 Mandy Dobrowolski's NPI number?

The NPI number for Mandy Dobrowolski is 1780357897. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Mandy Dobrowolski located?

Mandy Dobrowolski practices at 911 23rd St, Canyon, TX 79015. The listed phone number is (806) 655-2104.

What is Mandy Dobrowolski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mandy Dobrowolski enrolled in Medicare?

Yes. Mandy Dobrowolski 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 Mandy Dobrowolski accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mandy Dobrowolski 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 Mandy Dobrowolski affiliated with any hospitals?

According to CMS data, Mandy Dobrowolski is affiliated with Bsa Hospital and Quail Creek Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Mandy Dobrowolski was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.