MRS. ERICKA ROSE MOUDRY P.A. NPI 1770565186

NPI Information

  • NPI: 1770565186
  • Provider Name: MRS. ERICKA ROSE MOUDRY, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 901 MONTGOMERY ST
    DECORAH, IA
    ZIP 52101
  • Phone: (563) 382-2911

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NPI Details

MRS. Ericka Rose Moudry, P.A. is a medical physician assistant in Decorah, IA with 22 years of experience. MRS. Ericka Rose Moudry, P.A. NPI is 1770565186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 MONTGOMERY ST
DECORAH, IA
ZIP 52101-325
Phone: (563) 382-2911
Fax: (563) 382-4143

The NPI 1770565186 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2005 and was last updated on 2/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical001593IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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