KATHLEEN ELIZABETH DUDLEY RN, CRNP
NPI 1124574710
Nurse Practitioner - Pediatrics in Towson, MD
About Kathleen Elizabeth Dudley Rn, Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ELIZABETH DUDLEY RN, CRNP (NPI 1124574710) is an individual pediatrics provider in Towson, Maryland, licensed in Maryland (R174386) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hanover, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Elizabeth Dudley Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOWSON, MD 21204
TOWSON, MD 21204
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 Kathleen Dudley's NPI number?
The NPI number for Kathleen Dudley is 1124574710. It was assigned to this individual provider in the NPPES registry on September 1, 2016.
Where is Kathleen Dudley located?
Kathleen Dudley practices at 120 Sister Pierre Dr Ste 407, Towson, MD 21204. The listed phone number is (410) 769-8801.
What is Kathleen Dudley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kathleen Dudley enrolled in Medicare?
Yes. Kathleen Dudley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Dudley reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Kathleen Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Dudley was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kathleen Elizabeth Dudley, RN, CRNP · NPI 1124574710
Pediatrics physician in Towson, Maryland. Individual provider, active in the CMS NPPES registry since September 1, 2016.
## Identity
- **NPI:** 1124574710 (Entity type: Individual)
- **Enumerated:** September 1, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R174386 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 SISTER PIERRE DR STE 407, Towson, MD 21204-7536
- **Phone:** (410) 769-8801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124574710) · Data from the CMS NPPES public registry.