MS. DEANNA LYNN KUDULIS (NP) – Family Nurse Practitioner, NPI 1285715052

Family Nurse Practitioner

MS. DEANNA LYNN KUDULIS (NP) is a healthcare provider. based in La jolla, California. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 15849 (CA). The NPI Number for MS. DEANNA LYNN KUDULIS (NP) is 1285715052

Main info

Female

21 Years Of Experience

Accepts Medicare Assignment

Name

MS. DEANNA LYNN KUDULIS (NP)

NPI

1285715052

Phone

(661) 972-5317

Address

8831 VILLA LA JOLLA DR

Enumeration Date

18 October 2006

Last Update Date

12 June 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2005 (21 years ago)

PAC ID

2163448143

Group Practice PAC ID

2567520414

Professional Enrollment ID

I20051019000390

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. DEANNA LYNN KUDULIS (NP)

CVS Pharmacy, 8831, Villa La Jolla Drive, La Jolla Colony, San Diego, San Diego County, California, 92161, United States
LA JOLLA, CA 920371949
Phone: (661) 972-5317
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2567520414View full group profile

Name	Specialty	State
INNA GRACHEVA (FNP)	Nurse Practitioner	CA
RYAN THEBO	-	CA
JENNIFER CRANE (MSN)	-	CA
KATHERINE HANSEN (FNP)	Nurse Practitioner	CA
JENNIFER JADE KUMALA OCEGUEDA (MSN, FNP-C, PHN)	-	CA
TRINA ACOSTA-TECSON (FNP)	-	CA
JILLAINE SMASAL-KWAK	-	CA
HAILEY XUAN NGUYEN	Nurse Practitioner	CA
EMILIO JAVIER CAVAZOS (NP)	Nurse Practitioner	CA
AKIRA NICOLE HANSON-FINN (DNP, FNP-C)	Nurse Practitioner	CA

Reviews

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Frequently asked questions

How is MS. DEANNA LYNN KUDULIS (NP) identified in CMS data?

CMS-hosted NPPES data lists MS. DEANNA LYNN KUDULIS (NP) with NPI 1285715052.

Does CMS list MS. DEANNA LYNN KUDULIS (NP) as active?

Yes — MS. DEANNA LYNN KUDULIS (NP) is active in the NPI listing used on this page.

What healthcare role does MS. DEANNA LYNN KUDULIS (NP) hold?

Scheduling teams often label MS. DEANNA LYNN KUDULIS (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Where is MS. DEANNA LYNN KUDULIS (NP) based?

MS. DEANNA LYNN KUDULIS (NP) is tied to La Jolla, California in the data we show; additional addresses may exist on the full record.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.