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MR. DUDLEY M WADDLE NP
NPI 1942520705
Nurse Practitioner - Family in Merced, CA

Active since June 03, 2010PECOS Enrolled
727 W CHILDS AVE, MERCED, CA 95341(209) 724-6000 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Dudley M Waddle Np NPPES

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

MR. DUDLEY M WADDLE NP (NPI 1942520705) is an individual family provider in Merced, California, licensed in California (95006659) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942520705
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DUDLEY M WADDLECredential: NP
Location Address727 W CHILDS AVEMerced, CA 95341-6805
Mailing Address1659 Chenoweth CirKnoxville, TN 37909-1917 · (865) 321-0009
Phone(209) 724-6000
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1942520705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006659
727 W CHILDS AVE, Merced, CA 95341
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP2575SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dudley M Waddle Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dudley Waddle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boundless Care, Inc.
73 mi
General Practice
5988 SILVER CREEK VALLEY RD STE 60
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1588704449 (408) 363-8900
Athena Medical Group Of The Central Coast, Inc.
78 mi
Clinic/Center
335 KATHERINE AVE
Salinas, CA 93901
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1396178067 (831) 422-7275
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
514 mi
Public Health or Welfare
2400 W DATSI ST
Camp Verde, AZ 86322
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1205859618 (928) 567-2168

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 95341 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
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 6

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

THEO LUU
Occupational Therapist
727 W CHILDS AVE
MERCED, CA 95341
Merced County (209) 724-6000
GOLDEN VALLEY HEALTH CENTERS
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
727 W CHILDS AVE
MERCED, CA 95341
Merced County (209) 724-6000
ALYSSA REYES PT, DPT
Physical Therapist
727 W CHILDS AVE
MERCED, CA 95341
Merced County (209) 724-6000
DR. JELILI ATINUSOLA APALARA MD, MPH, FACP, CPHQ.
Internal Medicine
727 W CHILDS AVE
MERCED, CA 95341
Merced County (516) 998-6037
MS. CARLOTA BARDE CINCO NP
Nurse Practitioner (Family)
727 W CHILDS AVE
MERCED, CA 95341
Merced County (209) 722-4842
TONYA KANG MS, SLP
Speech-Language Pathologist
727 W CHILDS AVE
MERCED, CA 95341
Merced County (209) 722-4842

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 Dudley Waddle's NPI number?

The NPI number for Dudley Waddle is 1942520705. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Dudley Waddle located?

Dudley Waddle practices at 727 W Childs Ave, Merced, CA 95341. The listed phone number is (209) 724-6000.

What is Dudley Waddle's specialty?

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

Is Dudley Waddle enrolled in Medicare?

Yes. Dudley Waddle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dudley Waddle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dudley Waddle reassigns Medicare benefits to 3 organizations: Boundless Care, Inc. (San Jose, CA), Athena Medical Group Of The Central Coast, Inc. (Salinas, CA) and Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Camp Verde, AZ). 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 Dudley Waddle'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 Dudley Waddle was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.