MARY N KUDOJA FNP-BC
NPI 1770945263
Nurse Practitioner - Family in Clackamas, OR
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, is affiliated with Adventist Health Portland, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Mary Kudoja reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 331 clinicians in this Medicare group
Rice Lake, WI 54868
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Eau Claire, WI 54701
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,440 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Beaver Dam Community Hospitals Inc.
- 1,447 clinicians in this Medicare group
Suring, WI 54174
- Reassigned Medicare billing, Wisconsin enrollment
- 875 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist Health Portland
Acute Care Hospitals · Portland, ORPhysician 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.
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.
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.
CLACKAMAS, OR 97015
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.
Which organizations bill Medicare for Mary Kudoja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kudoja reassigns Medicare benefits to 8 organizations: Portland Adventist Medical Center (Portland, OR), Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Mchs Hospitals Inc (Eau Claire, WI), Flambeau Hospital Inc (Park Falls, WI), Memorial Hospital Inc (Neillsville, WI) and 3 more organizations, listed in the Medicare section above. Each 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 Mary Kudoja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Kudoja accept?
Health plans from CareSource (Common Ground Healthcare) 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.
Is Mary Kudoja affiliated with any hospitals?
According to CMS data, Mary Kudoja is affiliated with Adventist Health Portland.
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 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.
# Mary N Kudoja, FNP-BC · NPI 1770945263
Family physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1770945263 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10001428 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10151 SE SUNNYSIDE RD STE 100, Clackamas, OR 97015-5705
- **Phone:** (503) 659-0880 · **Fax:** (503) 659-0880
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Portland Adventist Medical Center (NPI 1437925310, Portland, OR); Lakeview Medical Center Inc Of Rice Lake (NPI 1093201832, Rice Lake, WI); Mchs Hospitals Inc (NPI 1316416035, Eau Claire, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); Memorial Hospital Inc (NPI 1033701800, Neillsville, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 5, 2024
- **Other identifiers:** Medicaid 100054720 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1770945263) · Data from the CMS NPPES public registry.