WAYNE HUDSON DO INTEGRATED MEDICAL PRACTICE PLLC
NPI 1093449415
Clinic/Center - Multi-Specialty in Lamar, CO

Active since July 12, 2022
310 E OLIVE ST, LAMAR, CO 81052(719) 691-2291 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2022, Sep 16, 2022, Sep 7, 2022 and 1 more (4 updates tracked since 2022).

About Wayne Hudson Do Integrated Medical Practice Pllc NPPES

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

WAYNE HUDSON DO INTEGRATED MEDICAL PRACTICE PLLC (NPI 1093449415) is a healthcare organization registered as a multi-specialty in Lamar, Colorado and active in the NPI registry since July 2022. The organization lists Robert Jay Brooke, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1093449415
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWAYNE HUDSON DO INTEGRATED MEDICAL PRACTICE PLLC
Location Address310 E OLIVE STLamar, CO 81052-2841
Mailing Address310 E Olive StLamar, CO 81052-2841 · (716) 931-9844 · Fax (719) 931-8007
Organization SubpartNo
Authorized OfficialRobert Jay BrookeOwner/partner · (719) 691-2291
Enumeration DateJuly 12, 2022
Last NPPES UpdateDecember 7, 20224 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1093449415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
310 E OLIVE ST, Lamar, CO 81052

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Hudson Do Integrated Medical Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wayne Hudson Do Integrated Medical Practice PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1669806774
310 E OLIVE ST
Lamar, CO 81052
(719) 931-9844
✔ PECOSSame address
Clinical Social Worker
NPI 1093442063
310 E OLIVE ST
Lamar, CO 81052
(719) 931-9844
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1255477790
310 EAST OLIVE STREET
Lamar, CO 81052
(719) 931-9844
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1699922971
200 KENDALL DR
Lamar, CO 81052
(719) 336-0261
✔ PECOS✔ Accepts Medicare1.5 mi

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 Wayne Hudson Do Integrated Medical Practice PLLC's NPI number?

The NPI number for Wayne Hudson Do Integrated Medical Practice PLLC is 1093449415. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Wayne Hudson Do Integrated Medical Practice PLLC located?

Wayne Hudson Do Integrated Medical Practice PLLC is located at 310 E Olive St, Lamar, CO 81052. The listed phone number is (719) 691-2291.

What is Wayne Hudson Do Integrated Medical Practice PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Wayne Hudson Do Integrated Medical Practice PLLC enrolled in Medicare?

Yes. Wayne Hudson Do Integrated Medical Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne Hudson Do Integrated Medical Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Wayne Hudson Do Integrated Medical Practice PLLC. 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 Clinical Social Worker (3) and General Practice (1). Of these, 2 practice at this address and 4 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 Wayne Hudson Do Integrated Medical Practice PLLC was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.