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

Mr. Justin David Dudley, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356798235

Mr. Justin David Dudley, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2017, 9 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Albuquerque, NM

Additional practice locations (2)

  • 11511 Ne 10th St, Bellevue, WA 98004-8578 — (425) 502-3000
  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2018-0003 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356798235
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

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 Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque