JANELLE V DUDLEY (P.A.) – Medical Physician Assistant, NPI 1629035993

JANELLE V DUDLEY (P.A.) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9103041 (FL). The NPI Number for JANELLE V DUDLEY (P.A.) is 1629035993

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JANELLE V DUDLEY (P.A.)
NPI
1629035993
Phone
(702) 899-0595
Address
PO BOX 7410884
Enumeration Date
28 April 2006
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
4789767914
Professional Enrollment ID
I20080212000264
Address ID
FL337041651SA843XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JANELLE V DUDLEY (P.A.)

  • PO BOX 7410884

    CHICAGO, IL 606740884

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 3301 N MCMULLEN BOOTH RD

    CLEARWATER, FL 337612014

    Phone: (872) 231-3162

    Fax: (702) 977-1496

    Type: Location

  • 12416, 66th Street North, Pinellas Park, Pinellas County, Florida, 33773, United States

    STE A

    LARGO, FL 337733437

    Phone: (727) 547-4700

    Fax: (727) 394-8661

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($74).

Total Amount

$236

General + Research + Ownership

Payments

12

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080212000264IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17225$0
99213Established patient office or other outpatient visit, 20-29 minutes5548$0
20610Aspiration and/or injection of fluid from large joint4935$0
73562X-ray of knee, 3 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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Provider's Procedures

JANELLE V DUDLEY (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL20610Aspiration and/or injection of large joint or joint capsule6947

Reviews

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Frequently asked questions

What identifier follows JANELLE V DUDLEY (P.A.) across health systems?
The NPI 1629035993 uniquely identifies JANELLE V DUDLEY (P.A.) in U.S. healthcare data.
Is JANELLE V DUDLEY (P.A.)'s NPI status active today?
Active status means JANELLE V DUDLEY (P.A.)'s NPI record is not deactivated in the public file.
Which specialty label fits JANELLE V DUDLEY (P.A.)?
NPPES ties JANELLE V DUDLEY (P.A.) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JANELLE V DUDLEY (P.A.) in Chicago, Illinois?
For routing, start with Chicago, Illinois for JANELLE V DUDLEY (P.A.), then verify phone and hours locally.
Why is information missing for JANELLE V DUDLEY (P.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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