ANNA MARIE DUDZIK
NPI 1609425131
Nurse Practitioner - Family in Golden Valley, MN

Q: What is Anna Dudzik's NPI number?

The NPI number for Anna Dudzik is 1609425131. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Q: What is Anna Dudzik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anna Dudzik was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 06, 2019PECOS Enrolled

1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422(763) 267-8701(763) 231-9602 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2019, Sep 6, 2019 (2 updates tracked since 2019).

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About Anna Marie Dudzik NPPES

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

ANNA MARIE DUDZIK (NPI 1609425131) is an individual family provider in Golden Valley, Minnesota, licensed in Minnesota (6873) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609425131

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNA MARIE DUDZIK

Location Address1415 LILAC DR N STE 190Golden Valley, MN 55422-4544

Mailing Address1415 Lilac Dr N Ste 190Golden Valley, MN 55422-4544 · (763) 267-8701 · Fax (763) 231-9602

Phone(763) 267-8701

Fax(763) 231-9602

Sole ProprietorNo

Enumeration DateSeptember 6, 2019

Last NPPES UpdateNovember 11, 20192 updates tracked since enumeration

✔ NPI 1609425131 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 MN · 6873

1415 LILAC DR N STE 190, Golden Valley, MN 55422

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Marie Dudzik 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 55422 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 2

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

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims364 services$3.02 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers16 claims16 services$20.93 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 20

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

DR. CLEMENCIA RASQUINHA M.D

Family Medicine (Geriatric Medicine)