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DAWN MARIE BIDDULPH FNP
NPI 1851878102
Nurse Practitioner - Family in Killeen, TX

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
3800 S W S YOUNG DR STE 201, KILLEEN, TX 76542(254) 245-9175(254) 213-7771 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 22, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Dawn Marie Biddulph Fnp NPPES

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

DAWN MARIE BIDDULPH FNP (NPI 1851878102) is an individual family provider in Killeen, Texas, licensed in Texas (AP135758) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851878102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN MARIE BIDDULPHCredential: FNP
Location Address3800 S W S YOUNG DR STE 201Killeen, TX 76542-3340
Mailing AddressPo Box 11538Killeen, TX 76547-1538 · (254) 245-9177 · Fax (254) 245-9178
Phone(254) 245-9175
Fax(254) 213-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2018
Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration
✔ NPI 1851878102 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 · AP135758
3800 S W S YOUNG DR STE 201, Killeen, TX 76542
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida 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

Dawn Marie Biddulph 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 ID6204185598
PECOS Enrollment IDI20211028002646, I20220509000534
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
43 services14 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.
40 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76542 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.

Other Providers at the Same Location NPPES 20

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

KRISTIAN DELGADO M.D.
Pain Medicine (Interventional Pain Medicine)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
MYESHA SCHULTZ FNP
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
THOMAS RYAN TEMPLE
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
INTEGRATED PAIN ASSOCIATES PLLC
Pain Medicine (Interventional Pain Medicine)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
TONIA G MCNAUGHTON NP
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
MELIZZA SAENZ CRNA
Nurse Anesthetist, Certified Registered
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
VANESSA VADEN FNP
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175
MS. KECIA TOOMBS FNP-C
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 201
KILLEEN, TX 76542
Bell County (254) 245-9175

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 Dawn Biddulph's NPI number?

The NPI number for Dawn Biddulph is 1851878102. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Dawn Biddulph located?

Dawn Biddulph practices at 3800 S W S Young Dr Ste 201, Killeen, TX 76542. The listed phone number is (254) 245-9175.

What is Dawn Biddulph's specialty?

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

Is Dawn Biddulph enrolled in Medicare?

Yes. Dawn Biddulph 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 Dawn Biddulph accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare and 1 other insurer list Dawn Biddulph 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.

When was this NPI record last updated?

The NPPES record for Dawn Biddulph was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.