AMY ELIZABETH DUDLEY
NPI 1588028567
Family Medicine in Moscow, ID

Q: What is Amy Dudley's NPI number?

The NPI number for Amy Dudley is 1588028567. It was assigned to this individual provider in the NPPES registry on April 6, 2016. The provider is also known as Amy Elizabeth O'neil.

Q: What is Amy Dudley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Dudley was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

623 S MAIN ST STE 1, MOSCOW, ID 83843(208) 882-2011(208) 883-1853 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Jul 19, 2024, Sep 17, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Amy Elizabeth Dudley NPPES

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

AMY ELIZABETH DUDLEY (NPI 1588028567) is an individual family medicine provider in Moscow, Idaho, licensed in Washington (MD60926794) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1588028567

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMY ELIZABETH DUDLEY

Location Address623 S MAIN ST STE 1Moscow, ID 83843-2983

Mailing AddressPo Box 8007Moscow, ID 83843-0507 · (208) 883-2224 · Fax (208) 883-6580

Phone(208) 882-2011

Fax(208) 883-1853

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1588028567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · MD60926794✔ Licensed in ID · M-15297

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD60926794 (WA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

623 S MAIN ST STE 1, Moscow, ID 83843

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Other Names 1

Former Name (1)Amy Elizabeth O'neil

Secondary Practice Location 1

Location 1700 S Main StMoscow, ID 83843-3046 · Phone (208) 882-4511 · Fax (208) 883-6580

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

Amy Elizabeth Dudley 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 ID5092007831

PECOS Enrollment IDI20200914001361

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gritman Medical Center

Critical Access Hospitals · Moscow, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131327

Location700 South Main StreetMoscow, ID 83843 · Latah County

Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501331

Location835 S Bishop BlvdPullman, WA 99163 · Whitman County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 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 10

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

CAREN LOOMIS COX

Counselor (Mental Health)