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LYNN MARIE DUDLEY P.A.
NPI 1316058084
Physician Assistant - Medical in Columbia, MD

Active since August 31, 2006PECOS Enrolled
10005 OLD COLUMBIA RD STE P170, COLUMBIA, MD 21046(410) 312-5280(877) 844-1423 Get Directions Write a Review

NPPES record last updated: May 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lynn Marie Dudley P.a. NPPES

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

LYNN MARIE DUDLEY P.A. (NPI 1316058084) is an individual medical provider in Columbia, Maryland, licensed in Maryland (C0002980) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316058084
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLYNN MARIE DUDLEYCredential: P.A.
Location Address10005 OLD COLUMBIA RD STE P170Columbia, MD 21046-1727
Mailing Address10005 Old Columbia Rd Ste P170Columbia, MD 21046-1727 · (410) 312-5280 · Fax (877) 844-1423
Phone(410) 312-5280
Fax(877) 844-1423
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 23, 2011
✔ NPI 1316058084 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 MD · C0002980
10005 OLD COLUMBIA RD STE P170, Columbia, MD 21046
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Other Identifiers 1

Medicare UPINQ38237DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn Marie Dudley P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

CHISO ORI ENWEZOR PA-C
Physician Assistant
10005 OLD COLUMBIA RD STE P170
COLUMBIA, MD 21046
Howard County (410) 312-5280
SILVIA VALENCIA HAZEL CRNP
Nurse Practitioner (Family)
10005 OLD COLUMBIA RD STE P170
COLUMBIA, MD 21046
Howard County (410) 312-5280
DR. MARK VINCENT SIVIERI M.D.
Family Medicine
10005 OLD COLUMBIA RD STE P170
COLUMBIA, MD 21046
Howard County (410) 312-5280

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 Lynn Dudley's NPI number?

The NPI number for Lynn Dudley is 1316058084. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Lynn Dudley located?

Lynn Dudley practices at 10005 Old Columbia Rd Ste P170, Columbia, MD 21046. The listed phone number is (410) 312-5280.

What is Lynn Dudley's specialty?

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

Is Lynn Dudley enrolled in Medicare?

Yes. Lynn Dudley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lynn Dudley was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.