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CHARMAINE MUNN HUDSON NP
NPI 1780307082
Nurse Practitioner - Family in Detroit, MI

Active since September 21, 2022PECOS Enrolled
2395 W GRAND BLVD, DETROIT, MI 48208(313) 831-2442(313) 831-2444 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2025, Sep 21, 2022 (2 updates tracked since 2022).

About Charmaine Munn Hudson Np NPPES

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

CHARMAINE MUNN HUDSON NP (NPI 1780307082) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704292632) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1780307082
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARMAINE MUNN HUDSONCredential: NP
Location Address2395 W GRAND BLVDDetroit, MI 48208-1210
Mailing Address14156 Sherman AveWarren, MI 48089-3317 · (313) 952-3131
Phone(313) 831-2442
Fax(313) 831-2444
Sole ProprietorNo
Enumeration DateSeptember 21, 2022
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1780307082 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 MI · 4704292632
2395 W GRAND BLVD, Detroit, MI 48208
Open in Google Maps ↗

Secondary Practice Location 1

Location 114156 Sherman AveWarren, MI 48089-3317 · Phone (313) 952-3131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, CareSource (Common Ground Healthcare) 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 (PECOS)

Charmaine Munn Hudson Np 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 Billing Reassignments

3

Medicare enrollment records show Charmaine Hudson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Plaza Clinic Corporation
Same address
Legal Medicine
2395 W GRAND BLVD
Detroit, MI 48208
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1992709331 (313) 831-2442
Livewell Medical Group PLLC
3.8 mi
Internal Medicine
3611 CARPENTER ST STE 5
Hamtramck, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1043096688 (313) 733-8286
Signify Health Medical Associates, PLLC
994 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 48208 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 7

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

DR. DAVID ALTON APRAHAMIAN D.O.
Family Medicine
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 897-2061
MRS. EDNA RUTH JACKSON RN
Registered Nurse (Administrator)
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 897-2061
MS. ANN DAVIS GARVIN CNM
Advanced Practice Midwife
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 897-2061
MRS. LISA MARIE RANDON M.D.
Pediatrics
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 831-2442
DR. STANLEY KEITH FRENCHER SR. MD
Internal Medicine
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 831-2442
MRS. BETTY ANN DORNBROOK NP
Nurse Practitioner (Adult Health)
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 897-2061
PROFESSIONAL PLAZA CLINIC CORPORATION
Legal Medicine
2395 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 831-2442

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 Charmaine Hudson's NPI number?

The NPI number for Charmaine Hudson is 1780307082. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Charmaine Hudson located?

Charmaine Hudson practices at 2395 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 831-2442.

What is Charmaine Hudson's specialty?

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

Is Charmaine Hudson enrolled in Medicare?

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

Which organizations bill Medicare for Charmaine Hudson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charmaine Hudson reassigns Medicare benefits to 3 organizations: Professional Plaza Clinic Corporation (Detroit, MI), Livewell Medical Group PLLC (Hamtramck, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Charmaine Hudson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charmaine Hudson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, CareSource (Common Ground Healthcare), Priority Health and UnitedHealthcare list Charmaine Hudson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charmaine Hudson was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.