TANGANYIKA LYNN DUDLEY APRN, AGACNP-BC
NPI 1962066688
Nurse Practitioner in Paris, TX

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
1055 CLARKSVILLE ST STE 110, PARIS, TX 75460(903) 785-3300(903) 785-3310 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Mar 5, 2020, Apr 29, 2019 (3 updates tracked since 2019).

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 is a graduate of Other (2017).

NPPES Registry Identity

NPI1962066688
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTANGANYIKA LYNN DUDLEYCredential: APRN, AGACNP-BC
Location Address1055 CLARKSVILLE ST STE 110Paris, TX 75460-0210
Mailing Address1133 Medical DrTyler, TX 75701-2130 · (903) 595-5486 · Fax (903) 595-5128
Fax(903) 785-3310
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 29, 2019
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1962066688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TX · AP140296 Licensed in OK · 132422
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1055 CLARKSVILLE ST STE 110, Paris, TX 75460

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

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.

PECOS PAC ID5597094987
PECOS Enrollment IDI20190910003423, I20200730001079
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 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.

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.
157 services146 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
60 services33 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.
42 services42 patients

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, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number371342
Location1301 Lincoln RoadIdabel, OK 74745 · Mccurtain County
Emergency services

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Physician 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.

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

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

Internal Medicine (Nephrology)
1055 CLARKSVILLE ST STE 110
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.

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 4 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, Christus Mother Frances Hospital, Paris Regional Medical Center and Christus Mother Frances Hospital Sulphur Springs.

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 5 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.