EMIKO N DUDLEY PNP
NPI 1619342409
Nurse Practitioner - Pediatrics in San Antonio, TX

Active since December 06, 2015PECOS EnrolledAccepts Medicare Assignment
903 W MARTIN ST, SAN ANTONIO, TX 78207(210) 358-5437(210) 358-5476 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Dec 6, 2015 (2 updates tracked since 2015).

About Emiko N Dudley Pnp NPPES

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

EMIKO N DUDLEY PNP (NPI 1619342409) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP129237) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619342409
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEMIKO N DUDLEYCredential: PNP
Location Address903 W MARTIN STSan Antonio, TX 78207-0903
Mailing Address903 W Martin StSan Antonio, TX 78207-0903 · (210) 358-5437 · Fax (210) 358-9970
Fax(210) 358-5476
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 6, 2015
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
NPI 1619342409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · AP129237
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP129237 (TX)
903 W MARTIN ST, San Antonio, TX 78207

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-3436 · Fax (210) 702-4567

Other Identifiers 2

Medicaid355320802TX
Other355320803TX · Cshcn

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 and accepts Medicare assignment

Emiko N Dudley Pnp 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 ID1759684012
PECOS Enrollment IDI20160120000547
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 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Social Worker (Clinical)
903 W MARTIN ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Nurse Practitioner
903 W MARTIN ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Community Health Worker
903 W MARTIN ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Pediatrics
903 W MARTIN ST
SAN ANTONIO, TX 78207
Genetic Counselor, MS
903 W MARTIN ST
SAN ANTONIO, TX 78207

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 Emiko Dudley's NPI number?

The NPI number for Emiko Dudley is 1619342409. It was assigned to this individual provider in the NPPES registry on December 6, 2015.

Where is Emiko Dudley located?

Emiko Dudley practices at 903 W Martin St, San Antonio, TX 78207. The listed phone number is (210) 358-5437.

What is Emiko Dudley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Emiko Dudley enrolled in Medicare?

Yes. Emiko Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emiko Dudley accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Emiko 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 Emiko Dudley was last updated on June 20, 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.