DOUGLAS E HUDSON PA
NPI 1265405856
Physician Assistant - Medical in Englewood, FL

Q: What is Douglas Hudson's NPI number?

The NPI number for Douglas Hudson is 1265405856. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Douglas Hudson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Hudson was last updated on September 15, 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.

Active since February 13, 2006PECOS Enrolled

81.36/100

CMS Quality Rating

3000 S MCCALL RD, ENGLEWOOD, FL 34224(941) 406-9029(941) 406-9028 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2021, Oct 23, 2019 (2 updates tracked since 2019).

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About Douglas E Hudson Pa NPPES

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

DOUGLAS E HUDSON PA (NPI 1265405856) is an individual medical provider in Englewood, Florida, licensed in Florida (PA 9103722) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265405856

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDOUGLAS E HUDSONCredential: PA

Location Address3000 S MCCALL RDEnglewood, FL 34224-8616

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(941) 406-9029

Fax(941) 406-9028

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2021

✔ NPI 1265405856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA 9103722

3000 S MCCALL RD, Englewood, FL 34224

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas E Hudson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.48

Promoting Interoperability

100

Improvement Activities

Cost

60.39

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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.

TINA MARIE REYNOLDS NP

Nurse Practitioner (Adult Health)