HUDSON HEADWATERS HEALTH NETWORK
NPI 1982417119
Clinic/Center - Primary Care in Salem, NY

Active since January 30, 2025
1830 COUNTY ROUTE 64, SALEM, NY 12865(518) 824-2571(833) 438-0104 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1982417119) is a healthcare organization registered as a primary care in Salem, New York and active in the NPI registry since January 2025. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982417119
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address1830 COUNTY ROUTE 64Salem, NY 12865-3404
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Fax(833) 438-0104
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateJanuary 30, 2025
Last NPPES UpdateApril 13, 2025
NPPES CertifiedApril 13, 2025
✔ NPI 1982417119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1830 COUNTY ROUTE 64, Salem, NY 12865

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20031117000239Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

196

Medicare enrollment records show 196 clinicians reassign Medicare billing to Hudson Headwaters Health Network, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner65
Family Practice45
Internal Medicine13
Pediatric Medicine13
Clinical Social Worker12
Certified Nurse Midwife (CNM)10
Obstetrics/Gynecology10
Podiatry4
14 other specialties24

Nearest to this location (20)

See all 196
Nurse Practitioner
NPI 1922451863
1830 COUNTY ROUTE 64
Salem, NY 12865
(518) 824-2571
✔ PECOSSame address
Nurse Practitioner
NPI 1467126763
1830 COUNTY ROUTE 64
Salem, NY 12865
(518) 824-2571
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730613514
1830 COUNTY ROUTE 64
Salem, NY 12865
(518) 824-2571
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174654479
1830 COUNTY ROUTE 64
Salem, NY 12865
(518) 824-2571
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003222159
48 EAST ST
Fort Edward, NY 12828
(518) 824-8630
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1275551392
48 EAST ST
Fort Edward, NY 12828
(518) 824-8630
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1558522714
48 EAST ST
Fort Edward, NY 12828
(518) 824-8630
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1134113590
48 EAST ST
Fort Edward, NY 12828
(518) 824-8630
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1417001025
14 HUDSON AVENUE ADIRONDACK ENT
Glens Falls, NY 12801
(518) 926-1380
✔ PECOS✔ Accepts Medicare19 mi
Certified Nurse Midwife (CNM)
NPI 1417649047
90 SOUTH ST
Glens Falls, NY 12801
(518) 792-7841
✔ PECOS✔ Accepts Medicare19 mi
Obstetrics/Gynecology
NPI 1841411618
90 SOUTH ST
Glens Falls, NY 12801
(518) 792-7841
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1457384182
100 BROAD ST
Glens Falls, NY 12801
(518) 792-2223
✔ PECOS✔ Accepts Medicare19 mi
Hospitalist
NPI 1649295254
38 LAROSE ST
Glens Falls, NY 12801
(518) 824-8181
✔ PECOS✔ Accepts Medicare19 mi
Registered Dietitian or Nutrition Professional
NPI 1336502400
38 LAROSE ST
Glens Falls, NY 12801
(518) 824-8181
✔ Accepts Medicare19 mi
Pediatric Medicine
NPI 1639496417
28 S WESTERN AVE
Queensbury, NY 12804
(518) 798-6400
✔ PECOS✔ Accepts Medicare20 mi
Podiatry
NPI 1134225063
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts Medicare20 mi
Nephrology
NPI 1801800529
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts Medicare20 mi
Clinical Psychologist
NPI 1831390855
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS20 mi
Rheumatology
NPI 1871814756
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts Medicare20 mi
Cardiovascular Disease (Cardiology)
NPI 1518958610
6 HEARTS WAY
Queensbury, NY 12804
(518) 792-1233
✔ PECOS✔ Accepts Medicare20 mi
See all 196 clinicians

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 1982417119. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 1830 County Route 64, Salem, NY 12865. The listed phone number is (518) 824-2571.

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, 4 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 April 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.