HUDSON HEADWATERS HEALTH NETWORK
NPI 1902900111
Clinic/Center - Primary Care in Mineville, NY
About Hudson Headwaters Health Network NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUDSON HEADWATERS HEALTH NETWORK (NPI 1902900111) is a healthcare organization registered as a primary care in Mineville, New York and active in the NPI registry since September 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hudson Headwaters Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
196Medicare enrollment records show 196 clinicians reassign Medicare billing to Hudson Headwaters Health Network, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 196Burlington, VT 05401
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hudson Headwaters Health Network's NPI number?
The NPI number for Hudson Headwaters Health Network is 1902900111. It was assigned to this organization in the NPPES registry on September 8, 2006.
Where is Hudson Headwaters Health Network located?
Hudson Headwaters Health Network is located at 33 Tom Phelps Lane, Mineville, NY 12956. The listed phone number is (518) 942-7123.
What is Hudson Headwaters Health Network's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Hudson Headwaters Health Network enrolled in Medicare?
Yes. Hudson Headwaters Health Network is registered in the Medicare PECOS enrollment system.
When is Hudson Headwaters Health Network's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hudson Headwaters Health Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 196 clinicians in 22 Medicare specialties reassign their Medicare billing to Hudson Headwaters Health Network. A 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 the clinician's services. The largest specialties are Nurse Practitioner (65), Family Practice (45) and Internal Medicine (13). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hudson Headwaters Health Network was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Hudson Headwaters Health Network · NPI 1902900111
Primary Care organization in Mineville, New York. Organization record, active in the CMS NPPES registry since September 8, 2006.
## Identity
- **NPI:** 1902900111 (Entity type: Organization)
- **Enumerated:** September 8, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Hudson Headwaters Health Network)
- **Authorized official:** Laura Pasco, EXECUTIVE VP, CFO
## Practice location
- **Address:** 33 TOM PHELPS LANE, Mineville, NY 12956-0480
- **Phone:** (518) 942-7123 · **Fax:** (518) 942-7041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 196 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Family Practice (45), Internal Medicine (13); 2 practice at this address; [full list](https://npiprofile.com/npi/1902900111/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2024
- **Other identifiers:** Medicaid 03289654 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1902900111) · Data from the CMS NPPES public registry.