Individual provider Active NPI

Carmen Elizabeth Hudson, NP

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1518615715
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1073033 Issued in TX
Practice address
1700 W FM 700
Big Spring, TX 79720-4120
Phone
(432) 264-1900
Fax
(432) 264-1901
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1073033 TX Primary
Nurse Practitioner 363L00000X 1073033 TX

Addresses

Primary practice location

1700 W FM 700
Big Spring, TX 79720-4120

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Phone (870) 856-1202

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
I20231101000758 TX Practitioner - Nurse Practitioner 1557717212 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
Access Medical Clinic LLCGroup PAC ID 1951721802, 30 clinicians

Practice addresses (Care Compare)

1700 W FM
700 Suite B
Big Spring, TX 79720-4120
Phone (432) 264-1911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1073033TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic LLC CurrentSince Aug 18, 2023 Accepting new patients
Access Medical Clinic LLC CurrentSince Aug 18, 2023 Accepting new patients
Access Medical Clinic LLC Past Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1700 W FM 700
Ste A
Big Spring, TX 79720
Phone (432) 264-1900

1700 W FM 700
Ste B
Big Spring, TX 79720
Phone (432) 264-1900

Interoperability endpoints

  • Direct secure messaging: carmen.hudson.1@22155.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1518615715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002",
            "telephone_number": "870-856-1202",
            "fax_number": "432-264-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W FM 700",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204120",
            "telephone_number": "432-264-1900",
            "fax_number": "432-264-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CARMEN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073033",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1073033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.