ERIKA A DUDLEY NP
NPI 1376059980
Nurse Practitioner - Critical Care Medicine in Aurora, CO

Active since December 19, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2021, Aug 6, 2019, May 15, 2018 and 1 more (4 updates tracked since 2017).

About Erika A Dudley Np NPPES

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

ERIKA A DUDLEY NP (NPI 1376059980) is an individual critical care medicine provider in Aurora, Colorado, licensed in Colorado (APN.0995994-NP) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376059980
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameERIKA A DUDLEYCredential: NP
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 19, 2017
Last NPPES UpdateAugust 14, 20214 updates tracked since enumeration
NPPES CertifiedAugust 14, 2021
NPI 1376059980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in CO · APN.0995994-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95006399 (CA)
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Locations 2

Location 12740 Grant StConcord, CA 94520-2265 · Phone (925) 674-4100
Location 2411 30th St Ste 314Oakland, CA 94609 · Phone (510) 465-6800

Accepted Insurance

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

Erika A Dudley Np 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 ID6608123591
PECOS Enrollment IDI20210527001459
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims88 services$1.82 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers18 claims18 services$3.11 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers13 claims13 services$25.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers58 claims60 services$62.76 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$29.79 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
6 suppliers13 claims4,011 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Erika Dudley's NPI number?

The NPI number for Erika Dudley is 1376059980. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Erika Dudley located?

Erika Dudley practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Erika Dudley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Erika Dudley enrolled in Medicare?

Yes. Erika Dudley 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.

What insurance does Erika Dudley accept?

Health plans from Medica and UnitedHealthcare list Erika Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erika Dudley was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.