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NANETTE C. DUDLEY MD
NPI 1508947391
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since October 18, 2006PECOS Enrolled
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nanette C. Dudley Md NPPES

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

NANETTE C. DUDLEY MD (NPI 1508947391) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (187756-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508947391
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameNANETTE C. DUDLEYCredential: MD
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 581100Salt Lake City, UT 84158-1100 · (801) 213-3800
Phone(801) 662-1000
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1508947391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in UT · 187756-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
100 N MEDICAL DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nanette C. Dudley Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nanette Dudley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
0.1 mi
Pediatrics
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1568826055 (801) 587-6336
University Of Utah Pediatric Acuity Care
0.1 mi
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Nanette Dudley's NPI number?

The NPI number for Nanette Dudley is 1508947391. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Nanette Dudley located?

Nanette Dudley practices at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Nanette Dudley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nanette Dudley enrolled in Medicare?

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

Which organizations bill Medicare for Nanette Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nanette Dudley reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nanette Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nanette Dudley accept?

Health plans from Select Health list Nanette 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 Nanette Dudley was last updated on October 21, 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.