BROOKE HUDSON FNP
NPI 1912549965
Nurse Practitioner - Family in Benton, IL

Q: What is Brooke Hudson's NPI number?

The NPI number for Brooke Hudson is 1912549965. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Brooke Hudson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brooke Hudson was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment

201 BAILEY LN, BENTON, IL 62812(618) 435-9692(618) 435-9327 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2021, Feb 8, 2021, Apr 6, 2020 and 1 more (4 updates tracked since 2019).

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About Brooke Hudson Fnp NPPES

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

BROOKE HUDSON FNP (NPI 1912549965) is an individual family provider in Benton, Illinois, licensed in Illinois (209020202) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Franklin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912549965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBROOKE HUDSONCredential: FNP

Location Address201 BAILEY LNBenton, IL 62812-1999

Mailing Address201 Bailey LnBenton, IL 62812-1999 · (618) 435-9692 · Fax (618) 435-9327

Phone(618) 435-9692

Fax(618) 435-9327

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 10, 2019

Last NPPES UpdateJune 4, 20214 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1912549965 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 IL · 209020202

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209020202 (IL)

201 BAILEY LN, Benton, IL 62812

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Secondary Practice Locations 2

Location 1201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 35130 · Fax (618) 351-4917

Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brooke Hudson Fnp 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 ID8820421928

PECOS Enrollment IDI20191203002845

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.

Hospital Affiliations CMS Care Compare

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

Franklin Hospital

Critical Access Hospitals · Benton, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141321

Location201 Bailey LaneBenton, IL 62812 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62812 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 16

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

ALLIANCE HEALTHCARE SERVICES INC

Clinic/Center (Magnetic Resonance Imaging (MRI))