Individual provider Active NPI

Michelle L Hudson, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
National Provider Identifier
1316981889
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28293804A Issued in IN
Practice address
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Phone
(260) 436-7875
Fax
(260) 432-9812
NPI assigned
Jun 15, 2006
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28293804A IN Primary
Anesthesiology Physician 207L00000X 618232 TX

Addresses

Primary practice location

6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203

Mailing address

PO Box 843603
Dallas, TX 75284-0001
Phone (972) 233-1999

Other identifiers 4

IdentifierTypeStateIssuer
86897UOtherTXBCBS/TEXAS
150186804MedicaidTX
83890UOtherTXBLUE CROSS BLUE SHIELD
150186802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040513000458 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527058585 Reassigns benefits to 6 organizations
Practice locations: Dallas, TX; Roanoke, TX; Irving, TX
I20160301002232 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527058585 Reassigns benefits to 1 organization
I20250129002113 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527058585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians

Practice addresses (Care Compare)

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
618232TXMDAnesthesiology Physician
3737CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Arcadia Anesthesia LP Anesthesiology CurrentSince Nov 6, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Jul 7, 2019 Accepting new patients
Marc Daniel Anesthesia, PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Anesthesiology CurrentSince Jan 27, 2025 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Jul 7, 2019 Accepting new patients
Endo Sedation LLC Anesthesiology Current Accepting new patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Anesthesiology Consultants of North Texas PA Anesthesiology CurrentSince Jul 26, 2020 Accepting new patients
South Bay Anesthesia Medical Group Inc. Anesthesiology PastSince Nov 6, 2019 Accepting new patients
Texas Gastrointestinal Associates PA Past Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Sep 1, 2023 Accepting new patients
Assured Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients
Reliance Anesthesia Group, PLLC Anesthesiology Past Accepting new patients
Lakeshore Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Garland Anesthesia Consultants, PA Anesthesiology Past Accepting new patients
Mesquite Professional Anesthesia, PA Anesthesiology Past Accepting new patients
Stratus Anesthesia Associates Southlake PLLC Anesthesiology Past Accepting new patients
Northstar Anesthesia, PA Anesthesiology Past Accepting new patients

Locations (25 of 35)

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

9032 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 231-2273

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1316981889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843603",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840001",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD # 434",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046203",
            "telephone_number": "260-436-7875",
            "fax_number": "260-432-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28293804A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "618232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/TEXAS",
            "identifier": "86897U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150186804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83890U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150186802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.

Verify at the official NPI Registry.