KELLI DUDLEY
NPI 1316427883
Nurse Practitioner - Family in Gatesville, TX

Q: What is Kelli Dudley's NPI number?

The NPI number for Kelli Dudley is 1316427883. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Q: What is Kelli Dudley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Dudley was last updated on March 18, 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.

Active since August 15, 2018PECOS Enrolled

1507 W MAIN ST, GATESVILLE, TX 76528(254) 865-2166 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2021, Aug 15, 2018 (2 updates tracked since 2018).

On this page

About Kelli Dudley NPPES

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

KELLI DUDLEY (NPI 1316427883) is an individual family provider in Gatesville, Texas, licensed in Texas (AP138110) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316427883

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI DUDLEY

Location Address1507 W MAIN STGatesville, TX 76528-1024

Mailing Address1507 W Main StGatesville, TX 76528-1024 · (254) 865-2166

Phone(254) 865-2166

Sole ProprietorNo

Enumeration DateAugust 15, 2018

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1316427883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP138110

1507 W MAIN ST, Gatesville, TX 76528

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Dudley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76528 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

DAVID MICHAEL PINKSTAFF MD

Urology