MRS. ERICKA ROSE MOUDRY P.A.
NPI 1770565186
Physician Assistant - Medical in Decorah, IA

Active since November 19, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911(563) 382-4143 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, May 16, 2019 (2 updates tracked since 2019).

About Mrs. Ericka Rose Moudry P.a. NPPES

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

MRS. ERICKA ROSE MOUDRY P.A. (NPI 1770565186) is an individual medical provider in Decorah, Iowa, licensed in Iowa (001593) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770565186
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ERICKA ROSE MOUDRYCredential: P.A.
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address901 Montgomery StDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 382-4143
Fax(563) 382-4143
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 19, 2005
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1770565186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IA · 001593
901 MONTGOMERY ST, Decorah, IA 52101

Other Names 1

Former Name (1)Ericka Rose Mracek Pa

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

Mrs. Ericka Rose Moudry P.a. 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 ID42270803
PECOS Enrollment IDI20041015000328, I20110818000749
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Gundersen Palmer Lutheran Hospital And Clinics

Critical Access Hospitals · West Union, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161316
Location112 Jefferson StreetWest Union, IA 52175 · Fayette County
Emergency services

Mercyone Oelwein Medical Center

Critical Access Hospitals · Oelwein, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161338
Location201 Eighth Avenue SEOelwein, IA 50662 · Fayette County
Emergency services

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier23 claims2,370 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers39 claims4,170 services$1.67 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers17 claims33 services$4.45 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.

Obstetrics & Gynecology
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Diabetes Educator)
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST, REHABILITATION SERVICES
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Audiologist-Hearing Aid Fitter
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Emergency)
901 MONTGOMERY ST
DECORAH, IA 52101

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 Ericka Moudry's NPI number?

The NPI number for Ericka Moudry is 1770565186. It was assigned to this individual provider in the NPPES registry on November 19, 2005. The provider is also known as Ericka Rose Mracek PA.

Where is Ericka Moudry located?

Ericka Moudry practices at 901 Montgomery St, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Ericka Moudry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ericka Moudry enrolled in Medicare?

Yes. Ericka Moudry 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 Ericka Moudry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Ericka Moudry 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.

Is Ericka Moudry affiliated with any hospitals?

According to CMS data, Ericka Moudry is affiliated with Allen Hospital, Gundersen Palmer Lutheran Hospital And Clinics, Mercyone Oelwein Medical Center, Winnmed and Mayo Clinic Health System-Franciscan Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Ericka Moudry was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.