DIONE SAMANTHA HUDSON-DOUGLAS NP
NPI 1972127645
Nurse Practitioner - Adult Health in Goshen, NY

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment
1995 ROUTE 17M, GOSHEN, NY 10924(845) 294-1234(845) 294-7583 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2021, May 29, 2020 (2 updates tracked since 2020).

About Dione Samantha Hudson-douglas Np NPPES

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

DIONE SAMANTHA HUDSON-DOUGLAS NP (NPI 1972127645) is an individual adult health provider in Goshen, New York, licensed in New York (F308446) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2017).

NPPES Registry Identity

NPI1972127645
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIONE SAMANTHA HUDSON-DOUGLASCredential: NP
Location Address1995 ROUTE 17MGoshen, NY 10924-5231
Mailing Address1995 Route 17mGoshen, NY 10924-5231 · (845) 294-1234 · Fax (845) 294-7583
Fax(845) 294-7583
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2017
Enumeration DateMay 29, 2020
Last NPPES UpdateMarch 18, 20222 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
✔ NPI 1972127645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308446
1995 ROUTE 17M, Goshen, NY 10924

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

Dione Samantha Hudson-douglas Np 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 ID4688071541
PECOS Enrollment IDI20210921001093
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 Dione Hudson-douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
301 services162 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
139 services126 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10924 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 3

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

Specialist
1995 ROUTE 17M
GOSHEN, NY 10924
Nurse Practitioner (Family)
1995 ROUTE 17M
GOSHEN, NY 10924
Internal Medicine
1995 ROUTE 17M, SUITE 1
GOSHEN, NY 10924

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 Dione Hudson-douglas's NPI number?

The NPI number for Dione Hudson-douglas is 1972127645. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Dione Hudson-douglas located?

Dione Hudson-douglas practices at 1995 Route 17M, Goshen, NY 10924. The listed phone number is (845) 294-1234.

What is Dione Hudson-douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dione Hudson-douglas enrolled in Medicare?

Yes. Dione Hudson-douglas 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 organizations bill Medicare for Dione Hudson-douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dione Hudson-douglas reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and Essen Medical Associates, PC (Bronx, NY). 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 Dione Hudson-douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dione Hudson-douglas affiliated with any hospitals?

According to CMS data, Dione Hudson-douglas is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Dione Hudson-douglas was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.