STACEY A HUDSON MD
NPI 1972593531
Anesthesiology in Fort Wayne, IN

Q: What is Stacey Hudson's NPI number?

The NPI number for Stacey Hudson is 1972593531. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Stacey Hudson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Hudson was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 25, 2005PECOS EnrolledAccepts Medicare Assignment

61.07/100

CMS Quality Rating

5734 COVENTRY LN, FORT WAYNE, IN 46804(260) 436-7875 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stacey A Hudson Md NPPES

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

STACEY A HUDSON MD (NPI 1972593531) is an individual anesthesiology provider in Fort Wayne, Indiana, licensed in Indiana (01056302) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1972593531

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameSTACEY A HUDSONCredential: MD

Location Address5734 COVENTRY LNFort Wayne, IN 46804-7141

Mailing AddressPo Box 633260Cincinnati, OH 45263-3260 · (317) 802-6303 · Fax (317) 870-0499

Phone(260) 436-7875

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2000

Enumeration DateOctober 25, 2005

Last NPPES UpdateOctober 29, 2007

✔ NPI 1972593531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IN · 01056302

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

5734 COVENTRY LN, Fort Wayne, IN 46804

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Other Identifiers 2

Medicare PIN057600SSIN

Medicare UPINI18491

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

Stacey A Hudson Md 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 ID9638130107

PECOS Enrollment IDI20041019001157

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.

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.

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

601 services132 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

139 services131 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150168

Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.2

Improvement Activities

Other Providers at the Same Location NPPES 20

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

NICOLE BOREM SCHICKEL CRNA

Nurse Anesthetist, Certified Registered