Active NPI
Kimberly M Hudson, APRN
- Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 002729
- Practice address
- 420 Saybrook Rd
Middlesex Cardiology Associates
Middletown, CT 06457-4747 - Phone
- (860) 347-4258
- Fax
- (860) 704-5924
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 002729 | CT | Primary |
Addresses
Primary practice location
420 Saybrook Rd
Middlesex Cardiology Associates
Middletown, CT 06457-4747
Mailing address
420 Saybrook Rd
Ste a
Middletown, CT 06457-4747
Phone (860) 636-2010
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009225787 | Medicaid | CT | |
| 2V4899 | Other | HEALTH NET | |
| P3231049 | Other | OXFORD | |
| 00422578700 | Other | BDS BLUE CARE | |
| 400002729CT | Other | ANTHEM | |
| 027290 | Other | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 636-2010
Hospital & facility affiliations
- Middlesex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002729 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
14 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 295-8217
420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258
420 Saybrook Rd
Ste A
Middletown, CT 06457
Phone (860) 347-4258
51 Main St
Old Saybrook, CT 06475
Phone (860) 388-3564
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- kimberly.hudson@xdr.hhchealthdirect.org
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Nurse Practitioner
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Nurse Practitioner
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1790899789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SAYBROOK RD",
"address_2": "STE A",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574747",
"telephone_number": "860-636-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 SAYBROOK RD",
"address_2": "MIDDLESEX CARDIOLOGY ASSOCIATES",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574747",
"telephone_number": "860-347-4258",
"fax_number": "860-704-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "002729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009225787",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V4899",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3231049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BDS BLUE CARE",
"identifier": "00422578700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "400002729CT",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT",
"identifier": "027290",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.