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Active NPI 1013018654 Individual Practitioner Female Practitioner

Vivian Dudley

Nurse Practitioner • Bourbon, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Vivian Dudley is a certified Nurse Practitioner practicing in Bourbon, MO. With approximately 26 years of clinical experience since completing medical education in 2000, Vivian Dudley delivers high-quality medical care to the local community at 125 N OLD HWY 66.

Vivian Dudley is affiliated with Mercy Clinic East Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, detection test for influenza virus, a or b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

125 N Old Hwy 66

Bourbon, MO 65441

Telephone 5736792006
Fax 5736792009
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bourbon, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Bourbon, MO (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dudley (26 Years) 26 Yrs
Bourbon Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81003 Automated urinalysis test
32 22 $6.00 $2.15
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
19 17 $166.00 $68.88

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 142760

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013018654 (MO)
Medicaid State Provider ID
425076205 (MO)
Commercial Insurance / Payer ID Railroad Medicare
P01134574 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic East Communities

851 E 5th St, Washington, MO 630903130

Mercy Clinic East Communities

125 N Old Hwy 66, Bourbon, MO 654416298

Phone: 5736792006

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2014

Registered at 125 N OLD HWY 66, BOURBON, MO 65441 (Tel: 5736792006)

📍
Updated Business Mailing Address August 25, 2014

Registered at 125 N OLD HWY 66, BOURBON, MO 65441 (Tel: 5736792006)

👤
Provider Name / Credentials Updated August 25, 2014

Recorded as VIVIAN DUDLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Nurse Practitioner (License #142760 in MO)

🟢
Initial NPI Registration & Enumeration September 26, 2006

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: 1013018654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: August 25, 2014
Sole Proprietor: No

Mailing Address

125 N Old Hwy 66

Bourbon, MO 65441

Phone: 5736792006

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.