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

Active since April 17, 2023PECOS Enrolled
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 04, 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 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
Phone(502) 852-5689
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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)

Nicole Marie Hudson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

GARRETT STULTS DO
Emergency Medicine
530 S JACKSON ST # C1H17
LOUISVILLE, KY 40202
Jefferson County (502) 852-1273
AMY BEARD DO
Emergency Medicine
530 S JACKSON ST # C1H17
LOUISVILLE, KY 40202
Jefferson County (812) 786-9652

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 enrollment system.

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.