Individual provider Active NPI

David Allan Hudson, CRNA

  • Certified Registered Nurse Anesthetist
  • Trinidad, CO
National Provider Identifier
1992836910
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R22458 Issued in NM
Practice address
11900 County Road 24.6
Trinidad, CO 81082-2022
Phone
(303) 618-7309
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R22458 NM Primary

Addresses

Primary practice location

11900 County Road 24.6
Trinidad, CO 81082-2022

Mailing address

11900 County Road 24.6
Trinidad, CO 81082-2022
Phone (303) 618-7309

Other identifiers 1

IdentifierTypeStateIssuer
72184582MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013001061 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840215299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.05 of 100Reported as group
Quality
84.23
Promoting interoperability
100
Improvement activities
40
Cost
51.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R22458NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Crna Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2011 Accepting new patients
Trinidad Area Health Association CurrentSince Dec 1, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Sep 1, 2017 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Sep 1, 2017 Accepting new patients
Trinidad Area Health Association Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients

Locations

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

719 N Cascade Ave
Colorado Springs, CO 80903
Phone (719) 433-7224

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

4100 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 544-7070

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

400 10th St E
Waconia, MN 55387

Organizations & group practices 7

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1992836910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 COUNTY ROAD 24.6",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822022",
            "telephone_number": "303-618-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 COUNTY ROAD 24.6",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822022",
            "telephone_number": "303-618-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R22458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72184582",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.