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JACQUELYNN DORMAN FNP
NPI 1962068981
Nurse Practitioner - Family in Odessa, TX

Active since May 15, 2019PECOS EnrolledAccepts Medicare Assignment
1330 E 8TH ST STE 414, ODESSA, TX 79761(432) 614-2176(432) 614-0876 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2025, Jun 20, 2023, May 14, 2021 and 1 more (4 updates tracked since 2019).

About Jacquelynn Dorman Fnp NPPES

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

JACQUELYNN DORMAN FNP (NPI 1962068981) is an individual family provider in Odessa, Texas, licensed in Texas (AP140013) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962068981
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYNN DORMANCredential: FNP
Location Address1330 E 8TH ST STE 414Odessa, TX 79761-4733
Mailing Address6509 Mosswood DrMidland, TX 79707-5075 · (432) 978-3022 · Fax (432) 614-0876
Phone(432) 614-2176
Fax(432) 614-0876
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2019
Last NPPES UpdateMarch 21, 20254 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1962068981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP140013
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License AP140013 (TX)
1330 E 8TH ST STE 414, Odessa, TX 79761
Open in Google Maps ↗

Other Identifiers 1

Medicaid3999732TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Jacquelynn Dorman 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 ID3173858321
PECOS Enrollment IDI20190711000418
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 Reassignments

2

Medicare enrollment records show Jacquelynn Dorman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Francisco J. Salcido, M.D. P.A.
5.9 mi
Family Medicine
4060 MEDICAL PARK DR
Odessa, TX 79765
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1659679926 (432) 582-2882
Essential Family Practice Of West Texas PLLC
6.1 mi
Family
6940 E YUKON RD STE 200
Odessa, TX 79765
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1871270124 (432) 614-2176

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
38 services17 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.
23 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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.

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 Jacquelynn Dorman's NPI number?

The NPI number for Jacquelynn Dorman is 1962068981. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Jacquelynn Dorman located?

Jacquelynn Dorman practices at 1330 E 8th St Ste 414, Odessa, TX 79761. The listed phone number is (432) 614-2176.

What is Jacquelynn Dorman's specialty?

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

Is Jacquelynn Dorman enrolled in Medicare?

Yes. Jacquelynn Dorman 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 organizations bill Medicare for Jacquelynn Dorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelynn Dorman reassigns Medicare benefits to 2 organizations: Francisco J. Salcido, M.D. P.A. (Odessa, TX) and Essential Family Practice Of West Texas PLLC (Odessa, TX). Each 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 Jacquelynn Dorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelynn Dorman 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 1 other insurer list Jacquelynn Dorman 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 Jacquelynn Dorman affiliated with any hospitals?

According to CMS data, Jacquelynn Dorman is affiliated with Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelynn Dorman was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.