Ava Cecilia Hudson, ARNP
Individual provider Active NPI Adult Health Nurse Practitioner · Weimer, CA
NPI 1346603198 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1346603198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 309763 (NY)
- Practice address
- 20601 West Paoli Lane
Weimer, CA 95736 - Phone
- (530) 637-4025
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Liberty Univ College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newstart Medical Group Inc
Practice addresses (Care Compare)
20601 W Paoli LN
Weimar, CA 95736-0486
Phone (530) 637-4025
Hospital & facility affiliations
- Sutter Medical Center, Sacramento
- Sutter Auburn Faith Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201005002730 | NY | Practitioner - Nurse Practitioner | 9234558545 | Reassigns benefits to 1 organization |
| I20240916000067 | CA | Practitioner - Nurse Practitioner | 9234558545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 9252051 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Newstart Medical Group Inc | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients |
Locations
6119 US Highway 11
Canton, NY 13617
Phone (315) 261-5810
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
Interoperability endpoints
- ava.hudson.1@11511.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN 9252051 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 309763 | NY | Yes |
Addresses
Primary practice location
20601 West Paoli Lane
Weimer, CA 95736
Mailing address
20601 West Paoli Lane
Weimer, CA 95736
Phone (530) 637-4025
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.