Active NPI
Nancy Jean Hudenko, PA
- Physician Assistant
- Reed City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002131
- Practice address
- 225 N State St
Reed City, MI 49677-1089 - Phone
- (616) 267-7400
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002131 | MI | Primary |
Addresses
Primary practice location
225 N State St
Reed City, MI 49677-1089
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nhudenko273090@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422001173 | MI | Practitioner - Physician Assistant | 5092753665 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
1005 W Green St
Hastings, MI 49058-1712
225 N State St
Corewell Health Medical Group West
Reed City, MI 49677-1089
Phone (616) 267-2400
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4100 Lake Dr SE
Ste B01
Grand Rapids, MI 49546
Phone (616) 267-7400
1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
2009 Holton Rd
North Muskegon, MI 49445
Phone (231) 291-8020
225 N State St
Reed City, MI 49677
Phone (231) 832-7108
Interoperability endpoints
- nhudenko273090@epic00.corewelldirect.org
- nhudenko273090@epic00.shdirect.org
Organizations & group practices 4
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.
-
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- Grand Rapids, MI
- NPI 1235188673
MI
-
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- NPI 1043655780
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 2
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": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1477590230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N STATE ST",
"city": "REED CITY",
"state": "MI",
"postal_code": "496771089",
"telephone_number": "616-267-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDENKO",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002131",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nhudenko273090@epic00.shdirect.org",
"affiliation": "N",
"address_1": "4100 Lake Dr SE Ste B01",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468292",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4100 Lake Dr SE Ste B01",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468292",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reed City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.