Active NPI
Nelsy E Hudson, ARNP
- Nurse Practitioner
- Casselberry, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9177916
- Practice address
- 985 State Road 436
Casselberry, FL 32707-5664 - Phone
- (407) 831-5252
- Fax
- (407) 831-3765
- NPI assigned
- May 30, 2014
- Last updated
- Sep 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9177916 | FL | |
| Nurse Practitioner | 363L00000X | APRN9177916 | FL | Primary |
Addresses
Primary practice location
985 State Road 436
Casselberry, FL 32707-5664
Mailing address
733 Minerva LN
Lake Mary, FL 32746-6410
Phone (321) 527-0913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012459500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1299 E Commercial Blvd
Suite 201
Oakland Park, FL 33334-4806
Phone (720) 631-1142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9177916 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagehealth DM LLC | Current | Accepting new patients | |
| Central Florida Inpatient Medicine LLC | Current | Accepting new patients |
Locations
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170
1299 E Commercial Blvd
Ste 201
Oakland Park, FL 33334
Phone (720) 631-1142
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1720490329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 MINERVA LN",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466410",
"telephone_number": "321-527-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 STATE ROAD 436",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075664",
"telephone_number": "407-831-5252",
"fax_number": "407-831-3765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "NELSY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-30",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9177916",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9177916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012459500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
- Damiah S Hollis
- Horacio Gonzalez MD PA
- Horizon Management Center
- Robert Stephen Howard Jr.
- Kristen King Howell, BCBA
- Huffman & Kern Ventures (New Age Wellness and Medical Center)
- Huffman and Kern Ventures LLC (New Age Wellness and Medical Center)
- Dustin John Huffman, D.C.
- Jacob Logan Huffman, DPM
- Human Service & Resources & Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.