Individual provider Active NPI

Adrienne L Dudley, APRN. CNP

  • Nurse Practitioner
  • Cicero, IL
National Provider Identifier
1902447667
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209026848 Issued in IL
Practice address
3314 S Cicero Ave Unit B
Cicero, IL 60804-4531
Phone
(708) 391-3030
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209026848 IL Primary
Family Nurse Practitioner 363LF0000X 13743 MN

Addresses

Primary practice location

3314 S Cicero Ave Unit B
Cicero, IL 60804-4531

Mailing address

1606 E 50TH PL Apt 3C
Chicago, IL 60615-6130

Other practice location 1

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191202000619 MI Practitioner - Nurse Practitioner 1658704838 Reassigns benefits to 2 organizations
I20231006002768 IL Practitioner - Nurse Practitioner 1658704838 Reassigns benefits to 3 organizations
I20260105001404 MN Practitioner - Nurse Practitioner 1658704838

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Health CenterGroup PAC ID 2062326820, 190 clinicians
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 844-2300

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13743MNMDPhysical Therapist
209026848ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Urgent Care LLC CurrentSince Dec 8, 2025 Accepting new patients
St Mary's Regional Health Center CurrentSince Jan 5, 2026 Accepting new patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Dec 2, 2019 Accepting new patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Aug 16, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 16, 2024 Accepting new patients
Schwab Faculty Associates Inc CurrentSince Sep 1, 2023 Accepting new patients
Physician Coverage Services PC CurrentSince Oct 20, 2020 Accepting new patients
St Marys Regional Health Center Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1401 S California Ave
Chicago, IL 60608
Phone (773) 522-5853

28687 Network Pl
Chicago, IL 60673

4769 W Cermak Rd
#2
Cicero, IL 60804
Phone (312) 833-8338

4769 W Cermak Rd
#2B
Cicero, IL 60804
Phone (312) 833-8338

3314 S Cicero Ave
#B
Cicero, IL 60804
Phone (708) 391-3030

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

G2065 S Center Rd
Flint, MI 48519
Phone (810) 235-2004

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

1103 1st St E
Park Rapids, MN 56470
Phone (218) 732-0542

Interoperability endpoints

  • Direct secure messaging: adudley99090@direct.hurleymc.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1902447667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 E 50TH PL APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606156130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 S CICERO AVE UNIT B",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044531",
            "telephone_number": "708-391-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013409",
            "country_code": "US",
            "telephone_number": "218-847-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ADRIENNE",
        "middle_name": "L",
        "credential": "APRN. CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026848",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.