✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family (363LF0000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

DOROTHEA BUDEK, FNP-BC (NPI #1427447895)

Nurse Practitioner, Family • IRON MOUNTAIN, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1427447895
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI, 49801-3637
✓ 9-Digit EDI 837 ZIP+4 (49801-3637)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427447895 (DOROTHEA BUDEK, FNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1427447895)

Medicare Beneficiaries
87
Total Billed Services
357
Distinct CPT/HCPCS Codes
38
Medicare Allowed Total
$4,958.75

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
80053 Blood test, comprehensive group of blood chemicals56
80061 Blood test, lipids (cholesterol and triglycerides)44
81003 Automated urinalysis test14
83036 Hemoglobin a1c level46
84443 Blood test, thyroid stimulating hormone (tsh)35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count68

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Albuterol Sulfate Hfa
Albuterol Sulfate
3413
Amlodipine Besylate
Amlodipine Besylate
5319
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
1312
Atorvastatin Calcium
Atorvastatin Calcium
6325
Benazepril Hcl
Benazepril Hcl
24<11
Carvedilol
Carvedilol
15<11
Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
11<11
Diclofenac Sodium
Diclofenac Sodium
2512

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1427447895 (NPI-1 Individual Practitioner)
Provider / Legal NameDOROTHEA BUDEK, FNP-BC
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
NUCC Code: 363LF0000X (Nurse Practitioner, Family)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1721 S STEPHENSON AVE, IRON MOUNTAIN, MI, 49801-3637
Practice Telephone / FaxTel: (906) 776-1313
Administrative Mailing AddressN5241 US HWY 45, WATERSMEET, MI, 49969-0009
Enumeration & Last SyncEnumerated: 2015-01-22 | CMS Record Updated: 2026-01-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1721 S STEPHENSON AVE, IRON MOUNTAIN, MI, 49801-3637

🗺️ Open in Google Maps 🏥 More Providers in IRON MOUNTAIN

Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DOROTHEA BUDEK, FNP-BC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363LF0000X — Nurse Practitioner, Family
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
State: WI | License: 6219-33 | Primary: Secondary
363LF0000X — Nurse Practitioner, Family
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
State: MI | License: 4704267422 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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