Individual provider Active NPI

Elisabeth Anne Hudson, FNP

  • Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1457920142
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1045130 Issued in TX
Practice address
1339 E Court St Ste 240
Seguin, TX 78155-5141
Phone
(830) 484-4600
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1045130 TX Primary

Addresses

Primary practice location

1339 E Court St Ste 240
Seguin, TX 78155-5141

Mailing address

1339 E Court St Ste 240
Seguin, TX 78155-5141
Phone (830) 484-4600

Other practice location 1

417 S King St
Seguin, TX 78155-5838
Phone (830) 484-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210907000964 TX Practitioner - Nurse Practitioner 3173929726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 401-7558

Hospital & facility affiliations

  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
68.71
Promoting interoperability
98
Improvement activities
40
Cost
69.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Regional Medical Group CurrentSince Aug 27, 2021 Accepting new patients
Guadalupe Regional Medical Group Current Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

1339 E Court St
Ste 240
Seguin, TX 78155
Phone (512) 694-7765

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Interoperability endpoints

  • Direct secure messaging: elisabeth.wright.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1457920142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E COURT ST STE 240",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555141",
            "telephone_number": "830-484-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E COURT ST STE 240",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555141",
            "telephone_number": "830-484-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 S King St",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781555838",
            "country_code": "US",
            "telephone_number": "830-484-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ELISABETH",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1045130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.