NPIMap

Individual provider Active NPI

Kurt Lawrence Judson, PA-C

  • Physician Assistant
  • Blue Hill, ME
National Provider Identifier
1093877664
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1991 Issued in ME
Practice address
57 Water St
Blue Hill, ME 04614-5231
Phone
(207) 374-3943
Fax
(207) 374-3978
NPI assigned
Dec 13, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1991 ME Primary

Addresses

Primary practice location

57 Water St
Blue Hill, ME 04614-5231

Mailing address

57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3943

Other identifiers 1

IdentifierTypeStateIssuer
1093877664MedicaidME

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kjudson@direct.emhs.org
Direct Messaging Address kjudson@direct.emhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140109000882 SC Practitioner - Physician Assistant 3072610989 Reassigns benefits to 1 organization
I20200305000505 ME Practitioner - Physician Assistant 3072610989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univ of Nebraska Medical Center, Col of Dentistry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1995SCMDDentist
PA1991MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Feb 16, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Feb 17, 2020 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Feb 17, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Olympia Orthopaedic Associates PLLC Past Accepting new patients
Vna Home Health & Hospice Past Accepting new patients
Palmetto Health Past Accepting new patients
Palmetto Health Past Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

50 Union St
Ste 2100
Ellsworth, ME 04605
Phone (207) 664-5770

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

3555 Harden Street Ext
Columbia, SC 29203
Phone (803) 434-6410

104 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 296-9200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 6

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1093877664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WATER ST",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145231",
            "telephone_number": "207-374-3943",
            "fax_number": "207-374-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WATER ST",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145231",
            "telephone_number": "207-374-3943",
            "fax_number": "207-374-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "KURT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093877664",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudson@direct.emhs.org",
            "affiliation": "N",
            "address_1": "50 Union St Ste 2100",
            "city": "Ellsworth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "046051534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudson@direct.emhs.org",
            "affiliation": "N",
            "address_1": "57 Water St",
            "city": "Blue Hill",
            "state": "ME",
            "country_code": "US",
            "postal_code": "046145231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Hill, ME

Sources for this page

Verify at the official NPI Registry.