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MARY N KUDOJA FNP-BC
NPI 1770945263
Nurse Practitioner - Family in Clackamas, OR

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015(503) 659-0880(503) 659-0880 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Jul 12, 2023, Aug 22, 2019 and 1 more (4 updates tracked since 2016).

About Mary N Kudoja Fnp-bc NPPES

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

MARY N KUDOJA FNP-BC (NPI 1770945263) is an individual family provider in Clackamas, Oregon, licensed in Oregon (10001428) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770945263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY N KUDOJACredential: FNP-BC
Location Address10151 SE SUNNYSIDE RD STE 100Clackamas, OR 97015-5705
Mailing Address2502 S Ashland AveGreen Bay, WI 54304-5252 · (920) 496-4700
Phone(503) 659-0880
Fax(503) 659-0880
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2016
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1770945263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10001428
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6843-33 (WI)
10151 SE SUNNYSIDE RD STE 100, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12502 S Ashland AveGreen Bay, WI 54304-5252 · Phone (920) 496-4700
Location 29576 Hwy 70Minocqua, WI 54548-9067 · Phone (715) 358-1767

Other Identifiers 1

Medicaid100054720WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Moda Health Plan, Inc..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

Mary N Kudoja Fnp-bc 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 ID3870892417
PECOS Enrollment IDI20230825000828
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$7.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$90.56 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$22.55 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 17

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

CHELSEA LYNN JORDAN RD, CDCES
Dietitian, Registered (Nutrition, Obesity and Weight Management)
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
DR. SHUOWEN CHEN MD
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
JON PETERS MD
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
EMILY VANESSA CHESLIK RD
Dietitian, Registered
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 261-6912
DR. ANDREW JOSEPH BITNEY DO
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
KATHARINE M MASON-ELLIS PA-C
Physician Assistant
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
LIN JUAN LI PA-C
Physician Assistant
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
ELSBETH CANDICE LO MD
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880

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 Mary Kudoja's NPI number?

The NPI number for Mary Kudoja is 1770945263. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mary Kudoja located?

Mary Kudoja practices at 10151 SE Sunnyside Rd Ste 100, Clackamas, OR 97015. The listed phone number is (503) 659-0880.

What is Mary Kudoja's specialty?

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

Is Mary Kudoja enrolled in Medicare?

Yes. Mary Kudoja 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 Mary Kudoja accept?

Health plans from CareSource (Common Ground Healthcare), Medica and Moda Health Plan, Inc. list Mary Kudoja 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 Mary Kudoja was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.