TRUDY DAWN WOUDSTRA
NPI 1124550165
Family Medicine in Olympia, WA

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
1200 COOPER POINT RD SW, OLYMPIA, WA 98502(360) 596-4800 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Mar 29, 2017 (2 updates tracked since 2017).

About Trudy Dawn Woudstra NPPES

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

TRUDY DAWN WOUDSTRA (NPI 1124550165) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD.MD.60631924) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124550165
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRUDY DAWN WOUDSTRA
Location Address1200 COOPER POINT RD SWOlympia, WA 98502-1160
Mailing Address1200 Cooper Point Rd SwOlympia, WA 98502-1160 · (360) 596-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 29, 2017
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1124550165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD.MD.60631924
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 COOPER POINT RD SW, Olympia, WA 98502

Other Names 1

Former Name (1)Dr. Trudy Dawn Fairhurst Md

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

Trudy Dawn Woudstra 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 ID8123397957
PECOS Enrollment IDI20170710002464
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Clinic/Center (Multi-Specialty)
1200 COOPER POINT RD SW
OLYMPIA, WA 98502

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 Trudy Woudstra's NPI number?

The NPI number for Trudy Woudstra is 1124550165. It was assigned to this individual provider in the NPPES registry on March 29, 2017. The provider is also known as Dr. Trudy Dawn Fairhurst MD.

Where is Trudy Woudstra located?

Trudy Woudstra practices at 1200 Cooper Point Rd SW, Olympia, WA 98502. The listed phone number is (360) 596-4800.

What is Trudy Woudstra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Trudy Woudstra enrolled in Medicare?

Yes. Trudy Woudstra 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.

When was this NPI record last updated?

The NPPES record for Trudy Woudstra was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.