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Active NPI 1770565186 Individual Practitioner Female Practitioner

Ericka Rose Moudry , PA

Physician Assistant - Medical • Decorah, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ericka Moudry, PA is a certified Physician Assistant - Medical practicing in Decorah, IA. With approximately 22 years of clinical experience since completing medical education in 2004, Ericka Moudry delivers high-quality medical care to the local community at 901 MONTGOMERY ST.

Ericka Moudry is affiliated with Winneshiek Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 Montgomery St

Decorah, IA 521012325

Telephone 5633822911
Fax 5633824143
Associated Practice Facility / Clinic
🏢 Tisue Anesthesia Services Facility NPI 1720051592

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Decorah, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs Matches City Avg
City Avg: 22.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Decorah, IA (245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moudry (22 Years) 22 Yrs
Decorah Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
17 17 $1225.71 $209.97
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
16 16 $13.00 $2.06

Medical Specialties & State Licenses

CMS Verified: 2021-02-16
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License IA 001593

Definition to come...

Hospital & Practice Group Affiliations

Winneshiek Medical Center

901 Montgomery St, Decorah, IA 521012325

Phone: 5633873000

Winneshiek Medical Center

114 Fisher Ave, Ossian, IA 521618108

Phone: 5635329440

Winneshiek Medical Center

114 Main St S, Mabel, MN 559549754

Phone: 5074935115

Winneshiek Medical Center

112 Jefferson St, West Union, IA 521751022

Phone: 5634223811

Winneshiek Medical Center

901 Montgomery St, Decorah, IA 521012325

Phone: 5633822911

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Randall Bremner , MD

Obstetrics & Gynecology

NPI 1003857657

Doctor of Medicine (M.D.)

Dr. Eric Svestka , MD

Family Medicine

NPI 1013203280

Doctor of Medicine (M.D.)

Nancy Gilson , RN DIABETES EDUCATOR

Registered Nurse - Diabetes Educator

NPI 1013212232

RNDIABETESEDUCATOR

Hannah Gaveske , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013294545

Certified Athletic Trainer

Chris Trytten

Specialist/Technologist - Athletic Trainer

NPI 1013716521
Dr. Paul Wenner , MD

Family Medicine

NPI 1023248614

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 16, 2019

Registered at 901 MONTGOMERY ST, DECORAH, IA 521012325 (Tel: 5633822911)

📍
Updated Business Mailing Address May 16, 2019

Registered at 901 MONTGOMERY ST, DECORAH, IA 521012325 (Tel: 5633822911)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2019

Physician Assistant (License #001593 in IA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2019

Physician Assistant (License #PA07067 in TX)

NPI Profile Active November 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2013

Registered at 640 JACKSON ST, SAINT PAUL, MN 551012502 (Tel: 6512542987)

📍
Updated Business Mailing Address November 12, 2013

Registered at 640 JACKSON ST, SAINT PAUL, MN 551012502 (Tel: 6512542987)

👤
Provider Name / Credentials Updated November 12, 2013

Recorded as ERICKA MOUDRY, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2013

Physician Assistant (License #10935 in MN)

🟢
Initial NPI Registration & Enumeration November 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770565186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2005
Last Update: February 16, 2021
Sole Proprietor: Yes

Mailing Address

901 Montgomery St

Decorah, IA 521012325

Phone: 5633822911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.