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AMY ELIZABETH DUDLEY
NPI 1588028567
Family Medicine in Moscow, ID

Active since April 06, 2016PECOS Enrolled
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: October 25, 2026.

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

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 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
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
Open in Google Maps ↗

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 Molina Healthcare, PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Elizabeth Dudley 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 Amy Dudley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gritman Medical Center Inc
0.1 mi
Critical Access
700 S MAIN ST
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 62 clinicians in this Medicare group
NPI 1619988144 (208) 882-4511
Gritman Medical Center, Inc.
0.8 mi
Family Medicine
623 S MAIN ST STE 1
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 28 clinicians in this Medicare group
NPI 1538634522 (208) 882-2011

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

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 11

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

CAREN LOOMIS COX
Counselor (Mental Health)
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
WENDY MONIQUE GOODRICH PA C
Physician Assistant
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
KYRSTEN E STOOPS MD
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
SUMMER LYNN DAY MD
Pediatrics
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
GRITMAN MEDICAL CENTER, INC.
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
DR. BRYN ELISE PARKER M.D.
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
ROBIN ASHLEY SAUTTER MD
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
JESSICA E BONNETT DO
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011

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 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.

Where is Amy Dudley located?

Amy Dudley practices at 623 S Main St Ste 1, Moscow, ID 83843. The listed phone number is (208) 882-2011.

What is Amy Dudley's specialty?

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

Is Amy Dudley enrolled in Medicare?

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

Which organizations bill Medicare for Amy Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Dudley reassigns Medicare benefits to 2 organizations: Gritman Medical Center Inc (Moscow, ID) and Gritman Medical Center, Inc. (Moscow, ID). 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 Amy Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Dudley accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Providence Health Plan list Amy 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 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 13 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.