TANGANYIKA LYNN DUDLEY APRN, AGACNP-BC
NPI 1962066688
Nurse Practitioner in Paris, TX
About Tanganyika Lynn Dudley Aprn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANGANYIKA LYNN DUDLEY APRN, AGACNP-BC (NPI 1962066688) is an individual nurse practitioner in Paris, Texas, licensed in Texas (AP140296) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Mccurtain Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Tanganyika Lynn Dudley Aprn, Agacnp-bc 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 Tanganyika Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Oklahoma and Texas enrollments
- Medicare enrollment name: Tyler Nephrology Associates PA
- 4 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mccurtain Memorial Hospital
Critical Access Hospitals · Idabel, OKTitus Regional Medical Center
Acute Care Hospitals · Mount Pleasant, TXParis Regional Medical Center
Acute Care Hospitals · Paris, TXChristus Mother Frances Hospital Sulphur Springs
Acute Care Hospitals · Sulphur Springs, TXChristus Mother Frances Hospital- Winnsboro
Critical Access Hospitals · Winnsboro, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75460 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARIS, TX 75460
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 Tanganyika Dudley's NPI number?
The NPI number for Tanganyika Dudley is 1962066688. It was assigned to this individual provider in the NPPES registry on April 29, 2019.
Where is Tanganyika Dudley located?
Tanganyika Dudley practices at 1055 Clarksville St Ste 110, Paris, TX 75460. The listed phone number is (903) 785-3300.
What is Tanganyika Dudley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tanganyika Dudley enrolled in Medicare?
Yes. Tanganyika Dudley 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 Tanganyika Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanganyika Dudley reassigns Medicare benefits to Tyler Nephrology Associates, P.A. (Tyler, TX). 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 Tanganyika Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tanganyika Dudley accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Tanganyika Dudley 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 Tanganyika Dudley affiliated with any hospitals?
According to CMS data, Tanganyika Dudley is affiliated with Mccurtain Memorial Hospital, Titus Regional Medical Center, Paris Regional Medical Center, Christus Mother Frances Hospital Sulphur Springs and Christus Mother Frances Hospital- Winnsboro.
When was this NPI record last updated?
The NPPES record for Tanganyika Dudley was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tanganyika Lynn Dudley, APRN, AGACNP-BC · NPI 1962066688
Nurse Practitioner physician in Paris, Texas. Individual provider, active in the CMS NPPES registry since April 29, 2019.
## Identity
- **NPI:** 1962066688 (Entity type: Individual)
- **Enumerated:** April 29, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP140296 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 CLARKSVILLE ST STE 110, Paris, TX 75460-0210
- **Phone:** (903) 785-3300 · **Fax:** (903) 785-3310
## 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:** Tyler Nephrology Associates, P.A. (NPI 1942360326, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962066688) · Data from the CMS NPPES public registry.