TERRA ELISE D'ANTONIO DUDLEY WHCNP
NPI 1467144568
Nurse Practitioner - Women's Health in Portland, OR

Q: What is Terra D'antonio Dudley's NPI number?

The NPI number for Terra D'antonio Dudley is 1467144568. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Terra D'antonio Dudley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since May 25, 2023PECOS EnrolledAccepts Medicare Assignment

9135 SW BARNES RD STE 761, PORTLAND, OR 97225(503) 216-2602 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, May 25, 2023 (2 updates tracked since 2023).

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About Terra Elise D'antonio Dudley Whcnp NPPES

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

TERRA ELISE D'ANTONIO DUDLEY WHCNP (NPI 1467144568) is an individual women's health provider in Portland, Oregon, licensed in Oregon (10008920) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467144568

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameTERRA ELISE D'ANTONIO DUDLEYCredential: WHCNP

Location Address9135 SW BARNES RD STE 761Portland, OR 97225-6777

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-2602

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 25, 2023

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1467144568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OR · 10008920

9135 SW BARNES RD STE 761, Portland, OR 97225

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Terra Elise D'antonio Dudley Whcnp 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 ID1052773645

PECOS Enrollment IDI20230814003325

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 97225 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 16

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

CAROLYN MARIE WITHEE DO

Obstetrics & Gynecology