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KATHLEEN ELIZABETH DUDLEY RN, CRNP
NPI 1124574710
Nurse Practitioner - Pediatrics in Towson, MD

Active since September 01, 2016PECOS Enrolled
120 SISTER PIERRE DR STE 407, TOWSON, MD 21204(410) 769-8801 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Aug 17, 2023, May 19, 2023 and 5 more (8 updates tracked since 2016).

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

NPI1124574710
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN ELIZABETH DUDLEYCredential: RN, CRNP
Location Address120 SISTER PIERRE DR STE 407Towson, MD 21204-7536
Mailing Address120 Sister Pierre Dr Ste 407Towson, MD 21204-7536
Phone(410) 769-8801
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateSeptember 1, 20238 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1124574710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MD · R174386✔ Licensed in PA · SP016535
120 SISTER PIERRE DR STE 407, Towson, MD 21204
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Secondary Practice Location 1

Location 1217 BroadwayHanover, PA 17331-2503 · Phone (717) 632-3911 · Fax (717) 632-1224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Elizabeth Dudley Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991275448
PECOS Enrollment IDI20260527000281
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 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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 4

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

DR. ANDREW RUDO M.D.
Psychiatry & Neurology (Psychiatry)
120 SISTER PIERRE DR STE 407
TOWSON, MD 21204
Baltimore County (443) 279-2000
NARDINE ASSAAD, MD, LLC
Pediatrics
120 SISTER PIERRE DR STE 407
TOWSON, MD 21204
Baltimore County (410) 769-8801
DR. MAHMOOD JAHROMI M.D.
Psychiatry & Neurology (Psychiatry)
120 SISTER PIERRE DR STE 407
TOWSON, MD 21204
Baltimore County (443) 279-2000
ADINA NOFF CRNP
Nurse Practitioner (Pediatrics)
120 SISTER PIERRE DR STE 407
TOWSON, MD 21204
Baltimore County (410) 769-8801

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.

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 2 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.