ELIZABETH B JUDY-FUDGE PA
NPI 1083123277
Physician Assistant - Medical in Boise, ID

Q: What is Elizabeth Judy-fudge's NPI number?

The NPI number for Elizabeth Judy-fudge is 1083123277. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Q: What is Elizabeth Judy-fudge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment

1072 N LIBERTY ST STE 100, BOISE, ID 83704(208) 302-1200(208) 302-1255 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2022, Jan 29, 2021, Apr 4, 2019 and 1 more (4 updates tracked since 2017).

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About Elizabeth B Judy-fudge Pa NPPES

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

ELIZABETH B JUDY-FUDGE PA (NPI 1083123277) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-1680) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083123277

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELIZABETH B JUDY-FUDGECredential: PA

Location Address1072 N LIBERTY ST STE 100Boise, ID 83704-8708

Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-1200

Fax(208) 302-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 20, 2017

Last NPPES UpdateNovember 18, 20224 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1083123277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-1680

1072 N LIBERTY ST STE 100, Boise, ID 83704

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Secondary Practice Locations 2

Location 12710 Harney St Ste 202Laramie, WY 82072-2899 · Phone (307) 742-3242

Location 210798 W Overland RdBoise, ID 83709-1329 · Phone (208) 377-3368 · Fax (208) 322-4691

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Elizabeth B Judy-fudge Pa 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 ID6507123130

PECOS Enrollment IDI20190215002782

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.

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.

13 services11 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 16

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

ASHLEY ROCHELLE LANHAM CNM

Advanced Practice Midwife