TRACEY SUZANNE DUDLEY APRN
NPI 1578065777
Nurse Practitioner - Family in Oklahoma City, OK

Active since March 02, 2018PECOS Enrolled
3613 NW 56TH ST STE 150, OKLAHOMA CITY, OK 73112(405) 600-1210 Get Directions Write a Review

NPPES record last updated: February 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2019, Mar 2, 2018 (2 updates tracked since 2018).

About Tracey Suzanne Dudley Aprn NPPES

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

TRACEY SUZANNE DUDLEY APRN (NPI 1578065777) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (101402) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1578065777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACEY SUZANNE DUDLEYCredential: APRN
Location Address3613 NW 56TH ST STE 150Oklahoma City, OK 73112-4506
Mailing Address2911 Nw 17th StOklahoma City, OK 73107-3901 · (405) 226-6513
Sole ProprietorYes
Enumeration DateMarch 2, 2018
Last NPPES UpdateFebruary 3, 20192 updates tracked since enumeration
NPI 1578065777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 101402
Also ListedClinical Nurse Specialist · PediatricsTaxonomy 364SP0200X · License 101402 (OK)
3613 NW 56TH ST STE 150, Oklahoma City, OK 73112

Secondary Practice Locations 4

Location 12911 NW 17th StOklahoma City, OK 73107-3901 · Phone (405) 226-6513
Location 213913 N May AveOklahoma City, OK 73134-5035 · Phone (405) 757-7818 · Fax (405) 703-0645
Location 3400 N Eastern AveMoore, OK 73160-5833 · Phone (405) 757-7818 · Fax (705) 703-0645
Location 42921 SW 89th StOklahoma City, OK 73159-6332 · Phone (405) 757-7818 · Fax (405) 703-0645

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 (PECOS)

Tracey Suzanne Dudley Aprn 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 73112 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers64 claims64 services$31.41 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers59 claims299 services$14.65 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers30 claims154 services$9.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers64 claims64 services$42.69 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers63 claims63 services$14.49 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tracey Dudley's NPI number?

The NPI number for Tracey Dudley is 1578065777. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Tracey Dudley located?

Tracey Dudley practices at 3613 NW 56th St Ste 150, Oklahoma City, OK 73112. The listed phone number is (405) 600-1210.

What is Tracey Dudley's specialty?

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

Is Tracey Dudley enrolled in Medicare?

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

What insurance does Tracey Dudley accept?

Health plans from Medica list Tracey 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 Tracey Dudley was last updated on February 3, 2019. 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.