MRS. JILL YVONNE DUDLEY PA-C
NPI 1669447819
Physician Assistant in Sonora, CA

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
1000 GREENLEY RD, SONORA, CA 95370(209) 536-5000(209) 536-3505 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jill Yvonne Dudley Pa-c NPPES

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

MRS. JILL YVONNE DUDLEY PA-C (NPI 1669447819) is an individual physician assistant in Sonora, California, licensed in California (PA12635) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669447819
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JILL YVONNE DUDLEYCredential: PA-C
Location Address1000 GREENLEY RDSonora, CA 95370-5200
Mailing Address23198 Hardscrabble CtSonora, CA 95370-8535 · (209) 586-9200 · Fax (209) 586-9300
Fax(209) 536-3505
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 21, 2006
Last NPPES UpdateOctober 8, 2013
NPI 1669447819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA12635
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 GREENLEY RD, Sonora, CA 95370

Other Identifiers 3

MedicaidOPA126350CA
Medicare UPINP88885CA
Medicare ID-Type UnspecifiedZZZ22859ZCA

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

Mrs. Jill Yvonne Dudley Pa-c 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 ID4981830437
PECOS Enrollment IDI20131112000635
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 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

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.

Physician Assistant
1000 GREENLEY RD
SONORA, CA 95370
Pharmacist
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
General Acute Care Hospital
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse (Registered Nurse First Assistant)
1000 GREENLEY RD
SONORA, CA 95370

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 Jill Dudley's NPI number?

The NPI number for Jill Dudley is 1669447819. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Jill Dudley located?

Jill Dudley practices at 1000 Greenley Rd, Sonora, CA 95370. The listed phone number is (209) 536-5000.

What is Jill Dudley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jill Dudley enrolled in Medicare?

Yes. Jill 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.

When was this NPI record last updated?

The NPPES record for Jill Dudley was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.