Susan Renae Hudson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0994873-NP Issued in CO

Practice address

5277 Manhattan Cir Ste 220
Boulder, CO 80303-8201

Phone

(303) 720-1845

Fax

(303) 479-4958

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Strock Medical Group LLCGroup PAC ID 9133453434, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan@strockmedicalgroup.com

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.

• Strock Medical Group LLC

  • Adult Health Nurse Practitioner
  • Denver, CO
  • NPI 1457859092
  Medicare reassignment Care Compare group NPD
• Strock Medical Group LLC

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1245906023
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1396390480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 E 135TH PL",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802411572",
            "telephone_number": "303-808-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR STE 220",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038201",
            "telephone_number": "303-720-1845",
            "fax_number": "303-479-4958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Delaware St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802042700",
            "country_code": "US",
            "telephone_number": "303-720-1845",
            "fax_number": "303-479-4958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SUSAN",
        "middle_name": "RENAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994873-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan@Strockmedicalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5277 Manhattan Cir Ste 220",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803038201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Michelle Huckabee, PA
• Mathew Hudgens, CMT, LAC
• Hudson Integrative Health Home, LLC
• Hudson Integrative Health Home, LLC
• Kellie Hudson
• Aaron Hudyma, PH.D.
• Elizabeth Huebner, PA-C
• Benjamin Hueftle
• Sonyamarie R Hueftle, LPCC
• Coralee Elizabeth Hueske

• Psychiatric/Mental Health Nurse Practitioner in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.