Individual provider Active NPI

Carissa A. Hudson

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1760330336
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337412 Issued in AZ
Practice address
14815 W Bell Rd Ste 106
Surprise, AZ 85374-7603
Phone
(623) 312-3012
Fax
(480) 398-8079
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN214905 AZ
Family Nurse Practitioner 363LF0000X 337412 AZ Primary

Addresses

Primary practice location

14815 W Bell Rd Ste 106
Surprise, AZ 85374-7603

Mailing address

700 W Warner Rd
Chandler, AZ 85225-2928
Phone (480) 821-2838

Other practice location 1

1710 N 159th Ave
Goodyear, AZ 85395-7687
Phone (623) 312-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260603003410 AZ Practitioner - Nurse Practitioner 9234600941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

14815 W Bell Rd
Suite 106
Surprise, AZ 85374-7603
Phone (623) 312-3012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN214905AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Past Accepting new patients
Ironwood Physicians, PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1760330336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W WARNER RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252928",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 W BELL RD STE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747603",
            "telephone_number": "623-312-3012",
            "fax_number": "480-398-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 N 159th Ave",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957687",
            "country_code": "US",
            "telephone_number": "623-312-3020",
            "fax_number": "623-487-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CARISSA",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN214905",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "337412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.