HUDSON HEADWATERS HEALTH NETWORK
NPI 1013292002
Clinic/Center - Primary Care in Queensbury, NY

Active since October 21, 2011
161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610(518) 824-2390 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 31, 2020, Nov 16, 2016 (2 updates tracked since 2016).

About Hudson Headwaters Health Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUDSON HEADWATERS HEALTH NETWORK (NPI 1013292002) is a healthcare organization registered as a primary care in Queensbury, New York and active in the NPI registry since October 2011. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013292002
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address161 CAREY RDQueensbury, NY 12804-7821
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Fax(518) 824-2390
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateOctober 21, 2011
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1013292002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X · License 5660200R (NY)
Also ListedPhysician AssistantTaxonomy 363A00000X
161 CAREY RD, Queensbury, NY 12804

Other Identifiers 1

Medicaid03470413NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hudson Headwaters Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20031117000239Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

196

Medicare enrollment records show 196 clinicians reassign Medicare billing to Hudson Headwaters Health Network, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 93 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner65
Family Practice45
Internal Medicine13
Pediatric Medicine13
Clinical Social Worker12
Certified Nurse Midwife (CNM)10
Obstetrics/Gynecology10
Podiatry4
14 other specialties24

Nearest to this location (20)

See all 196
Podiatry
NPI 1134225063
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1801800529
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154071751
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073999454
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1831390855
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOSSame address
Rheumatology
NPI 1871814756
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1861784480
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1538565700
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629787916
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578450656
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1750363487
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174043509
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508806779
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1912999244
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1043897952
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902379688
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871886978
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932324274
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1174925259
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOSSame address
Internal Medicine
NPI 1689688541
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts MedicareSame address
See all 196 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hudson Headwaters Health Network's NPI number?

The NPI number for Hudson Headwaters Health Network is 1013292002. It was assigned to this organization in the NPPES registry on October 21, 2011.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.

What is Hudson Headwaters Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Hudson Headwaters Health Network enrolled in Medicare?

Yes. Hudson Headwaters Health Network is registered in the Medicare PECOS enrollment system.

When is Hudson Headwaters Health Network's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hudson Headwaters Health Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 196 clinicians in 22 Medicare specialties reassign their Medicare billing to Hudson Headwaters Health Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (65), Family Practice (45) and Internal Medicine (13). Of these, 33 practice at this address and 93 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hudson Headwaters Health Network was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.