NICOLE MARIE HUDSON DO
NPI 1821784463
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment
530 S JACKSON ST # C1H17, LOUISVILLE, KY 40202(502) 852-5689(502) 852-0066 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Marie Hudson Do NPPES

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

NICOLE MARIE HUDSON DO (NPI 1821784463) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Marian University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1821784463
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE MARIE HUDSONCredential: DO
Location Address530 S JACKSON ST # C1H17Louisville, KY 40202-1675
Mailing Address530 S Jackson St # C1h17Louisville, KY 40202-1675 · (502) 852-5689 · Fax (502) 852-0066
Fax(502) 852-0066
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 17, 2023
NPPES CertifiedApril 16, 2023
✔ NPI 1821784463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 S JACKSON ST # C1H17, Louisville, KY 40202

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

Nicole Marie Hudson Do 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 ID2163963208
PECOS Enrollment IDI20260730002342
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 Nicole Hudson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
2400 17TH ST
Columbus, IN 47201
  • Reassigned Medicare billing, Indiana enrollment
  • 17 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Emergency Medicine
530 S JACKSON ST # C1H17
LOUISVILLE, KY 40202
Emergency Medicine
530 S JACKSON ST # C1H17
LOUISVILLE, KY 40202

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 Nicole Hudson's NPI number?

The NPI number for Nicole Hudson is 1821784463. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Nicole Hudson located?

Nicole Hudson practices at 530 S Jackson St # C1h17, Louisville, KY 40202. The listed phone number is (502) 852-5689.

What is Nicole Hudson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Hudson enrolled in Medicare?

Yes. Nicole 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.

Which organization bills Medicare for Nicole Hudson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hudson reassigns Medicare benefits to Emergency Physicians Inc Of Columbus (Columbus, IN). The 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 Nicole Hudson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Hudson affiliated with any hospitals?

According to CMS data, Nicole Hudson is affiliated with Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Hudson was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.