Triana Lynn Hudson
Individual provider Active NPI Nurse Practitioner · Jackson, TN
NPI 1396339396 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1396339396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 28958 (TN)
- Practice address
- 111 Stonebridge Blvd
Jackson, TN 38305-2040 - Phone
- (731) 427-8888
- Fax
- (731) 265-4159
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Noma PC
Practice addresses (Care Compare)
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.9 of 100
- Quality
- 45.42
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 71.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20210324001937 | TN | Practitioner - Nurse Practitioner | 7214344985 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28958 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noma, PC | Current |
Accepting new patients | |
| Carl W. Huff, MD, PC | Past |
Accepting new patients |
Locations
111 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 410-6777
569 Skyline Dr
Ste 100
Jackson, TN 38301
Phone (731) 427-7888
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- triana.hudsonnp.p1@direct.sportsorthospine.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28958 | TN | Yes |
Addresses
Primary practice location
111 Stonebridge Blvd
Jackson, TN 38305-2040
Mailing address
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888
Other providers in Jackson, TN
- Tracey Hubler
- Kimberly Hudgins
- Katelyn Alexandria Hudson
- Rhonda Hudson
- Sara Elizabeth Hudson
- Gregory Eugene Huff
- Katherine Olivia Hughes
- Kelvin Hughes
- Matthew Patrick Hughes
- Dennis Alfred Hulm
All providers in Jackson, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. 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.