1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Nurse Practitioner
  6. NPI Profile

CARISSA A. HUDSON
NPI 1760330336
Nurse Practitioner - Family in Surprise, AZ

Active since March 19, 2026PECOS Enrolled
14815 W BELL RD STE 106, SURPRISE, AZ 85374(623) 312-3012(480) 398-8079 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa A. Hudson NPPES

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

CARISSA A. HUDSON (NPI 1760330336) is an individual family provider in Surprise, Arizona, licensed in Arizona (337412) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Goodyear, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1760330336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA A. HUDSON
Location Address14815 W BELL RD STE 106Surprise, AZ 85374-7603
Mailing Address700 W Warner RdChandler, AZ 85225-2928 · (480) 821-2838 · Fax (480) 821-9444
Phone(623) 312-3012
Fax(480) 398-8079
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 19, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1760330336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 337412
Also ListedRegistered NurseTaxonomy 163W00000X · License RN214905 (AZ)
14815 W BELL RD STE 106, Surprise, AZ 85374
Open in Google Maps ↗

Secondary Practice Location 1

Location 11710 N 159th AveGoodyear, AZ 85395-7687 · Phone (623) 312-3020 · Fax (623) 487-6747

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa A. Hudson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234600941
PECOS Enrollment IDI20260603003410
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

TEJINDER P KAUR MD
Internal Medicine (Medical Oncology)
14815 W BELL RD STE 106
SURPRISE, AZ 85374
Maricopa County (623) 312-3012
JULIA BROOKMAN M.D
Surgery
14815 W BELL RD STE 106
SURPRISE, AZ 85374
Maricopa County (623) 312-3012
IRONWOOD PHYSICIANS PC
Internal Medicine (Hematology & Oncology)
14815 W BELL RD STE 106
SURPRISE, AZ 85374
Maricopa County (623) 312-3000

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 Carissa Hudson's NPI number?

The NPI number for Carissa Hudson is 1760330336. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Carissa Hudson located?

Carissa Hudson practices at 14815 W Bell Rd Ste 106, Surprise, AZ 85374. The listed phone number is (623) 312-3012.

What is Carissa Hudson's specialty?

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

Is Carissa Hudson enrolled in Medicare?

Yes. Carissa Hudson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carissa Hudson was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.