Individual provider Active NPI

Rachel Hudman, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1871084087
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A0055602 Issued in AR
Practice address
808 S 52ND St
Rogers, AR 72758-8602
Phone
(479) 587-1700
Fax
(479) 587-1366
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A0055602 AR Primary

Addresses

Primary practice location

808 S 52ND St
Rogers, AR 72758-8602

Mailing address

3901 Parkway Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Other identifiers 1

IdentifierTypeStateIssuer
230453758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180627002373 AR Practitioner - Nurse Practitioner 7214283654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

808 S 52ND St
Rogers, AR 72758-8602
Phone (479) 936-9900

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A0055602ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group, PA CurrentSince Jun 27, 2022 Accepting new patients
Highlands Oncology Group PA CurrentSince Jun 27, 2022 Accepting new patients
Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA Past Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

808 S 52nd St
Rogers, AR 72758
Phone (479) 878-1818

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1871084087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588602",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDMAN",
        "first_name": "RACHEL",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A0055602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230453758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.