1. Home
  2. Directory
  3. California
  4. Copperopolis
  5. Nurse Practitioner
  6. NPI Profile

POLLY CHRYSANTHEMUM DODDS
NPI 1821622820
Nurse Practitioner - Family in Copperopolis, CA

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment
430 SAWMILL CREEK RD UNIT 6, COPPEROPOLIS, CA 95228(209) 785-7000(209) 785-7025 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2023, Feb 29, 2020 (2 updates tracked since 2020).

About Polly Chrysanthemum Dodds NPPES

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

POLLY CHRYSANTHEMUM DODDS (NPI 1821622820) is an individual family provider in Copperopolis, California, licensed in California (NP95013962) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821622820
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOLLY CHRYSANTHEMUM DODDS
Location Address430 SAWMILL CREEK RD UNIT 6Copperopolis, CA 95228-9242
Mailing Address430 Sawmill Creek Rd Unit 6Copperopolis, CA 95228-9242 · (209) 785-7000 · Fax (209) 785-7025
Phone(209) 785-7000
Fax(209) 785-7025
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 27, 2020
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1821622820 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 CA · NP95013962
430 SAWMILL CREEK RD UNIT 6, Copperopolis, CA 95228
Open in Google Maps ↗

Other Names 1

Former Name (1)Polly Chrysanthemum Beukers Fnp

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

Polly Chrysanthemum Dodds 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 ID5991128753
PECOS Enrollment IDI20200702001992
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.

Medicare Billing Reassignment

Medicare enrollment records show Polly Dodds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark Twain Medical Center
15 mi
Critical Access
768 MOUNTAIN RANCH RD
San Andreas, CA 95249
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1508968819 (209) 754-3521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95228 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims36 services$6.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Polly Dodds's NPI number?

The NPI number for Polly Dodds is 1821622820. It was assigned to this individual provider in the NPPES registry on February 27, 2020. The provider is also known as Polly Chrysanthemum Beukers Fnp.

Where is Polly Dodds located?

Polly Dodds practices at 430 Sawmill Creek Rd Unit 6, Copperopolis, CA 95228. The listed phone number is (209) 785-7000.

What is Polly Dodds's specialty?

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

Is Polly Dodds enrolled in Medicare?

Yes. Polly Dodds 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 Polly Dodds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Dodds reassigns Medicare benefits to Mark Twain Medical Center (San Andreas, CA). 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 Polly Dodds'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 Polly Dodds was last updated on December 7, 2023. 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.