KIMBERLY SHONTAE HUDSON
NPI 1134895808
Nurse Practitioner - Family in Memphis, TN

Active since August 21, 2021PECOS EnrolledAccepts Medicare Assignment
1803 UNION AVE, MEMPHIS, TN 38104(901) 722-3152 Get Directions Write a Review

NPPES record last updated: August 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2021, Aug 21, 2021 (2 updates tracked since 2021).

About Kimberly Shontae Hudson NPPES

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

KIMBERLY SHONTAE HUDSON (NPI 1134895808) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (29547) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134895808
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY SHONTAE HUDSON
Location Address1803 UNION AVEMemphis, TN 38104-3942
Mailing Address1803 Union AveMemphis, TN 38104-3942 · (901) 722-3152
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 21, 2021
Last NPPES UpdateAugust 28, 20212 updates tracked since enumeration
NPPES CertifiedAugust 28, 2021
NPI 1134895808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 29547
1803 UNION AVE, Memphis, TN 38104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Shontae Hudson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517355720
PECOS Enrollment IDI20211020002251, I20221103002202
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
312 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services85 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
76 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
64 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
1803 UNION AVE, SUITE 2
MEMPHIS, TN 38104
Nurse Practitioner
1803 UNION AVE
MEMPHIS, TN 38104
Non-Pharmacy Dispensing Site
1803 UNION AVE, SUITE 2
MEMPHIS, TN 38104

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 Kimberly Hudson's NPI number?

The NPI number for Kimberly Hudson is 1134895808. It was assigned to this individual provider in the NPPES registry on August 21, 2021.

Where is Kimberly Hudson located?

Kimberly Hudson practices at 1803 Union Ave, Memphis, TN 38104. The listed phone number is (901) 722-3152.

What is Kimberly Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Hudson enrolled in Medicare?

Yes. Kimberly Hudson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Hudson was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.