Individual provider Active NPI

Mark A Hudson, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Fort Stockton, TX
National Provider Identifier
1992733463
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
617497 Issued in TX
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

Updated by the provider on Jun 11, 2019

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 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

IdentifierTypeStateIssuer
773755OtherTXMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, ND, KS4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
NA 3160CAMDRegistered Nurse
617497TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2023 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Alamo Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2024 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Apr 25, 2023 Accepting new patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 17, 2024 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2024 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Apr 25, 2023 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 PastSince Sep 1, 2007 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.

View all 19

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.

Verify at the official NPI Registry.