Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mayra Cruz Koedam, FNP-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346695178

MS. Mayra Cruz Koedam, FNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Dallas, TX

No coordinates on file. Search this address in Google Maps

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP130975 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346695178
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Brightside Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 280 clinicians in the practice; 12 are shown here.

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