KEYSHARA MONAE HUDSON LMSW
NPI 1225838253
Social Worker - Clinical in Grand Rapids, MI

Q: What is Keyshara Hudson's NPI number?

The NPI number for Keyshara Hudson is 1225838253. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Q: What is Keyshara Hudson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Keyshara Hudson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 18, 2025PECOS EnrolledAccepts Medicare Assignment

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2025, Mar 18, 2025 (2 updates tracked since 2025).

On this page

About Keyshara Monae Hudson Lmsw NPPES

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

KEYSHARA MONAE HUDSON LMSW (NPI 1225838253) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851115833) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wyoming, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225838253

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKEYSHARA MONAE HUDSONCredential: LMSW

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Fax(616) 336-8830

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 18, 2025

Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1225838253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6851115833

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

790 FULLER AVE NE, Grand Rapids, MI 49503

Open in Google Maps ↗

Secondary Practice Location 1

Location 11850 44th St SWWyoming, MI 49519-4276 · Phone (616) 389-0788

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keyshara Monae Hudson Lmsw 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 ID9436630852

PECOS Enrollment IDI20260224003525

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.

Medicare Billing Reassignment

Medicare enrollment records show Keyshara Hudson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kent County Cmh Authority

Same address

Community/Behavioral Health

790 FULLER AVE NE
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
164 clinicians in this Medicare group

NPI 1194617811 (616) 336-3909

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 20

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

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)