Ms Jennifer Nicole Hudson, NP - Medicare Nurse Practitioner in Granite City, IL

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Ms Jennifer Nicole Hudson, NP is a medicare enrolled "Nurse Practitioner" in Granite City, Illinois. Her current practice location is 3732 Nameoki Rd, Granite City, Illinois. You can reach out to her office (for appointments etc.) via phone at (314) 221-0793.

Ms Jennifer Nicole Hudson is licensed to practice in Illinois (license number 209017894) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336548155.

Contact Information

Ms Jennifer Nicole Hudson, NP
3732 Nameoki Rd,
Granite City, IL 62040
(314) 221-0793
Not Available

Map and Direction




Provider's Profile

Full NameMs Jennifer Nicole Hudson
GenderFemale
SpecialityNurse Practitioner
Location3732 Nameoki Rd, Granite City, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336548155
  • Provider Enumeration Date: 08/18/2014
  • Last Update Date: 01/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062754260
  • Enrollment ID: I20190508000210

Medical Identifiers

Medical identifiers for Ms Jennifer Nicole Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336548155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 041.416814 (Illinois)Secondary
246ZE0600XSpecialist/technologist, Other - Electroneurodiagnostic (* (Not Available))Secondary
363L00000XNurse Practitioner 2020041195 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 209.017894 (Illinois)Secondary
363L00000XNurse Practitioner 209017894 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jennifer Nicole Hudson allows following entities to bill medicare on her behalf.
Entity NameMaster Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679466
PECOS PAC ID: 6709830227
Enrollment ID: O20050308000947
Entity NameFirst Care Express Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407245954
PECOS PAC ID: 2062704539
Enrollment ID: O20160705000375

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Nicole Hudson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jennifer Nicole Hudson, NP
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -		Ms Jennifer Nicole Hudson, NP
3732 Nameoki Rd,
Granite City, IL 62040

Ph: (314) 221-0793

Reviews and Comments


Nurse Practitioner Nurses in Granite City, IL

Kevin M Kuria, CNP
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Stephanie King, FNP-BC
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Diane M Schwind, NP
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Practice Location: 2100 Madison Ave, Granite City, IL 62040
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Tracy Pacini,
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Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040
Phone: 618-512-1919    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.