ANDREW DUDLEY APRN
NPI 1720859614
Nurse Practitioner in Hartford, CT
About Andrew Dudley Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW DUDLEY APRN (NPI 1720859614) is an individual nurse practitioner in Hartford, Connecticut, licensed in Connecticut (12.013236) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Dudley Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
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 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06102
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 Andrew Dudley's NPI number?
The NPI number for Andrew Dudley is 1720859614. It was assigned to this individual provider in the NPPES registry on January 10, 2024.
Where is Andrew Dudley located?
Andrew Dudley practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 716-5348.
What is Andrew Dudley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Andrew Dudley enrolled in Medicare?
Yes. Andrew 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.
Which organization bills Medicare for Andrew Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Dudley reassigns Medicare benefits to Hartford Hospital (Hartford, CT). The 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 Andrew Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Dudley was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrew Dudley, APRN · NPI 1720859614
Nurse Practitioner physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since January 10, 2024.
## Identity
- **NPI:** 1720859614 (Entity type: Individual)
- **Enumerated:** January 10, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 12.013236 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 SEYMOUR ST, Hartford, CT 06102-8000
- **Phone:** (860) 716-5348
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hartford Hospital (NPI 1770696643, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720859614) · Data from the CMS NPPES public registry.