Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth B Judy-Fudge, PA

Individual provider Medical Physician Assistant · NPI 1083123277

Elizabeth B Judy-Fudge, PA is a Physician Assistant in Boise, Idaho. Qualified in 2017, 9 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1072 N Liberty St Ste 100
Boise, ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2710 Harney St Ste 202, Laramie, WY 82072-2899 — (307) 742-3242

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1680 (ID)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1083123277
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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