Tara Ann Hudak, FNP
Individual provider Active NPI Family Nurse Practitioner · Brookpark, OH
NPI 1992427488 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1992427488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0032246 (OH)
- Practice address
- 15149 Snow Rd
Brookpark, OH 44142-2458 - Phone
- (216) 279-2536
- Fax
- (888) 355-6712
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251110000930 | OH | Practitioner - Nurse Practitioner | 0840780607 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0032246 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Ohio, Inc. | Current |
Accepting new patients |
Locations
15149 Snow Rd
Brook Park, OH 44142
Phone (216) 279-2536
27175 Center Ridge Rd
Westlake, OH 44145
Phone (440) 768-2622
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0032246 | OH | Yes |
Addresses
Primary practice location
15149 Snow Rd
Brookpark, OH 44142-2458
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
302 Baker St
Berea, OH 44017-1518
Phone (216) 554-0269
Other providers in Brookpark, OH
- Richard S Hong
- Rosamond Hong
- Derrick Hopperton
- Nicole Michelle Horn
- Barbara E Horvath
- Emily M Husik
- Hyperbaric Therapy of Brook Park
- Hyperbaric Therapy of Brook Park
- I Am Boundless, Inc.
- Inclusionworks
All providers in Brookpark, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.