PHYLLIS DUDA (RN APN C AOCN) – Adult Health Nurse Practitioner, NPI 1235164583

PHYLLIS DUDA (RN APN C AOCN) is a healthcare provider. based in Mt holly, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials RN APN C AOCN. They hold a License No. NJ000082 (NJ). The NPI Number for PHYLLIS DUDA (RN APN C AOCN) is 1235164583

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS DUDA (RN APN C AOCN)
NPI
1235164583
Phone
(609) 702-1900
Address
175 Madison Avenue
Enumeration Date
12 July 2006
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563256750
Graduation Year
1986 (40 years ago)
PAC ID
3971728650
Group Practice PAC ID
2163335878
Professional Enrollment ID
I20140714001999
Address ID
NJ080434637VO900XXMXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for PHYLLIS DUDA (RN APN C AOCN)

  • 175 Madison Avenue

    4th Floor Stokes Building

    Mt Holly, NJ 08060

    Phone: (609) 702-1900

    Fax: (609) 702-8455

    Type: Location

  • 900 Centennial Blvd Ste M

    Voorhees, NJ 08043

    Phone: (856) 325-6750

    Type: Location

  • 200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • 2, Cooper Plaza, Lanning Square, Camden, Camden County, New Jersey, 08103, United States

    400 HADDON AVE

    CAMDEN, NJ 081031461

    Phone: (855) 632-2667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $22,669.

Total Amount is formed as General ($22,669) + Research ($0) + Ownership ($0) = $22,669.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: PFIZER INC. ($22,490).

Total Amount

$22,669

General + Research + Ownership

Payments

41

Total payment records

General Amount

$22,669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2014-07-14

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
I20140714001999INurse PractitionerNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes331239$0
View full utilization report →

Insurance plans in this area (ZIP 08060)

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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: 2163335878View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NJ
-NJ
-NJ
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
N E U R O L O G YNJ
Physician AssistantPA
Nurse PractitionerNJ
Infectious Disease, Internal MedicinePA

Reviews

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Frequently asked questions

What identifier follows PHYLLIS DUDA (RN APN C AOCN) across health systems?
The NPI 1235164583 uniquely identifies PHYLLIS DUDA (RN APN C AOCN) in U.S. healthcare data.
Is PHYLLIS DUDA (RN APN C AOCN)'s NPI status active today?
Active status means PHYLLIS DUDA (RN APN C AOCN)'s NPI record is not deactivated in the public file.
What type of care does PHYLLIS DUDA (RN APN C AOCN) provide?
PHYLLIS DUDA (RN APN C AOCN)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to PHYLLIS DUDA (RN APN C AOCN)?
The directory associates PHYLLIS DUDA (RN APN C AOCN) with Mt Holly, New Jersey. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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