Active NPI
Melissa Dawn Hudson, CRNA
- Certified Registered Nurse Anesthetist
- Gold Beach, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 56338
- Practice address
- 94220 4TH St
Gold Beach, OR 97444-7756 - Phone
- (541) 247-3000
- Fax
- (541) 247-3104
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60067579 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201704461CRNA | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 56338 | ID | Primary |
Addresses
Primary practice location
94220 4TH St
Gold Beach, OR 97444-7756
Mailing address
94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000
Other practice location 1
406 S 30th Ave
Suite 202
Yakima, WA 98902-3713
Phone (509) 972-1051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487696985 | Other | OR | CURRY HEALTH DISTRICT NPI |
| 119263 | Other | OR | CURRY HEALTH DISTRICT MEDICAID |
| 500688299 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56338 | ID | MD | Certified Registered Nurse Anesthetist |
| 201704461CRNA | OR | MD | Certified Registered Nurse Anesthetist |
| AP60067579 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Coeur D Alene PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Evergreen Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physician Anesthesia Assoc Inc PS | Past | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
2121 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 625-4680
1581 E Edmondton Ave
Ste 204
Post Falls, ID 83854
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Post Falls, ID
- NPI 1114908993
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Coeur D Alene, ID
- NPI 1962440966
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Sunnyside, WA
- NPI 1225575996
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Yakima, WA
- NPI 1457432791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245476704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94220 4TH ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974447756",
"telephone_number": "541-247-3000",
"fax_number": "541-247-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94220 4TH ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974447756",
"telephone_number": "541-247-3000",
"fax_number": "541-247-3104"
}
],
"practiceLocations": [
{
"address_1": "406 S 30th Ave",
"address_2": "SUITE 202",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023713",
"country_code": "US",
"telephone_number": "509-972-1051",
"fax_number": "509-972-4166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "MELISSA",
"middle_name": "DAWN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60067579",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201704461CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "56338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT NPI",
"identifier": "1487696985",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT MEDICAID",
"identifier": "119263",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500688299",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gold Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.