DUDLEY G ELMORE III RN,FNP
NPI 1568620375
Nurse Practitioner - Family in San Diego, CA

Active since May 29, 2008PECOS Enrolled
200 W ARBOR DRIVE, MC 8401, SAN DIEGO, CA 92103(619) 543-5870(619) 543-7785 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dudley G Elmore Iii Rn,fnp NPPES

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

DUDLEY G ELMORE III RN,FNP (NPI 1568620375) is an individual family provider in San Diego, California, licensed in California (18199) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568620375
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDUDLEY G ELMORE IIICredential: RN,FNP
Location Address200 W ARBOR DRIVE, MC 8401San Diego, CA 92103-8401
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Fax(619) 543-7785
Sole ProprietorYes
Enumeration DateMay 29, 2008
Last NPPES UpdateOctober 16, 2018
NPI 1568620375 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 CA · 18199
200 W ARBOR DRIVE, San Diego, CA 92103

Other Names 1

Other Name (5)Doug G Elmore Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dudley G Elmore Iii Rn,fnp 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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 18

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

Student in an Organized Health Care Education/Training Program
200 W ARBOR DRIVE, MC 8894
SAN DIEGO, CA 92103
Hospitalist
200 W ARBOR DRIVE
SAN DIEGO, CA 92103
Surgery
200 W ARBOR DRIVE, #8220
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DRIVE, MC 8425
SAN DIEGO, CA 92103
General Acute Care Hospital
200 W ARBOR DRIVE, MAIL CODE 8816
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DRIVE
SAN DIEGO, CA 92103
Psychiatry & Neurology (Psychiatry)
200 W ARBOR DRIVE, MC # 8218
SAN DIEGO, CA 92103
Psychiatry & Neurology (Psychiatry)
200 W ARBOR DRIVE
SAN DIEGO, CA 92103

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 Dudley Elmore's NPI number?

The NPI number for Dudley Elmore is 1568620375. It was assigned to this individual provider in the NPPES registry on May 29, 2008. The provider is also known as Doug G Elmore Fnp.

Where is Dudley Elmore located?

Dudley Elmore practices at 200 W Arbor Drive Mc 8401, San Diego, CA 92103. The listed phone number is (619) 543-5870.

What is Dudley Elmore's specialty?

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

Is Dudley Elmore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dudley Elmore was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.