NPIMap

Individual provider Active NPI

Stacey Allen Finley Hudson, MD

  • Otolaryngology Physician
  • Reno, NV
National Provider Identifier
1386615672
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10393 Issued in NV
Practice address
10735 Double R Blvd
Reno, NV 89521-8977
Phone
(775) 852-3624
Fax
(775) 852-3672
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 10393 NV Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 10393 NV

Addresses

Primary practice location

10735 Double R Blvd
Reno, NV 89521-8977

Mailing address

10735 Double R Blvd
Suite A12
Reno, NV 89521-8977
Phone (775) 852-3624

Other identifiers 1

IdentifierTypeStateIssuer
100500145MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000045 NV Practitioner - Otolaryngology 6608829791 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nevada School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10735 Double R Blvd
Reno, NV 89521-8977
Phone 7758523624224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10393NVMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Regional Medical Center Past Accepting new patients
Nevada Heart Institute Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGFBD/Endpoint/IJGFBD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1386615672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 DOUBLE R BLVD",
            "address_2": "SUITE A12",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218977",
            "telephone_number": "775-852-3624",
            "fax_number": "775-852-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218977",
            "telephone_number": "775-852-3624",
            "fax_number": "775-852-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "STACEY",
        "middle_name": "ALLEN FINLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "10393",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NV",
            "license": "10393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.