Active NPI
Mark A Hudson, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Fort Stockton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 617497
- Practice address
- 387 W Ih 10
Fort Stockton, TX 79735-2700 - Phone
- (432) 336-2004
- Fax
- (432) 336-4545
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NA 3160 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 617497 | TX | Primary |
Addresses
Primary practice location
387 W Ih 10
Fort Stockton, TX 79735-2700
Mailing address
387 W Ih 10
Fort Stockton, TX 79735-2700
Phone (432) 336-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773755 | Other | TX | MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA, ND, KS
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000562 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739086562 | Reassigns benefits to 5 organizations |
| I20191120003304 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739086562 | |
| I20230608001949 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739086562 | Reassigns benefits to 2 organizations |
| I20230816001783 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739086562 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA 3160 | CA | MD | Registered Nurse |
| 617497 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Alamo Sedation Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| El Paso Ams, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Lone Star Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Gastroenterology Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Anesthesia Healthcare Partners of Laredo, P. a. | Past | Accepting new patients | |
| Mercy Tyler Health Systems | Past | Accepting new patients | |
| Comprehensive Anesthesia, a California Nursing Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients | |
| Clinical Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3290 Solutions Ctr
Chicago, IL 60677
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131
8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893
3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909
19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900
8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232
17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600
Organizations & group practices 19
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.
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1851810410
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Austin, TX
- NPI 1427405810
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1134740202
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1245801299
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
KS, Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Devils Lake, ND
- NPI 1184117293
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Anesthesiology Physician
- Laredo, TX
- NPI 1992739916
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1992733463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 W IH 10",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797352700",
"telephone_number": "432-336-2004",
"fax_number": "432-336-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 W IH 10",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797352700",
"telephone_number": "432-336-2004",
"fax_number": "432-336-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "MARK",
"middle_name": "A",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "NA 3160",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "617497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "773755",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stockton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.