HUDSON FAMILY PRACTICE, INC
NPI 1063553980
Family Medicine in Hudson, OH
About Hudson Family Practice, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUDSON FAMILY PRACTICE, INC (NPI 1063553980) is a healthcare organization registered as a family medicine in Hudson, Ohio and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Terry John Wagner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hudson Family Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Hudson Family Practice, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D0939206
Hudson Family Practice Inc · Hudson, OHFrequently 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 Family Practice, Inc's NPI number?
The NPI number for Hudson Family Practice, Inc is 1063553980. It was assigned to this organization in the NPPES registry on February 12, 2007.
Where is Hudson Family Practice, Inc located?
Hudson Family Practice, Inc is located at 5655 Hudson Dr Suite 303, Hudson, OH 44236. The listed phone number is (330) 800-4800.
What is Hudson Family Practice, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hudson Family Practice, Inc enrolled in Medicare?
Yes. Hudson Family Practice, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hudson Family Practice, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hudson Family Practice, Inc, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hudson Family Practice, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0939206) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hudson Family Practice, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Hudson Family Practice, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hudson Family Practice, Inc was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hudson Family Practice, Inc · NPI 1063553980
Family Medicine organization in Hudson, Ohio. Organization record, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1063553980 (Entity type: Organization)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Terry Wagner, PRESIDENT
## Practice location
- **Address:** 5655 HUDSON DR, SUITE 303, Hudson, OH 44236
- **Phone:** (330) 800-4800 · **Fax:** (330) 653-3007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2021
- **Other identifiers:** Other CG0422 (OH); Medicaid 2152790 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063553980) · Data from the CMS NPPES public registry.