SUSAN RENAE HUDSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396390480

SUSAN RENAE HUDSON (NP) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APN.0994873-NP (CO). The NPI Number for SUSAN RENAE HUDSON (NP) is 1396390480

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN RENAE HUDSON (NP)
NPI
1396390480
Phone
(303) 720-1845
Address
1120 Delaware St Ste 110
Enumeration Date
6 August 2019
Last Update Date
6 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037201845
Graduation Year
2019 (7 years ago)
PAC ID
2365859857
Group Practice PAC ID
9133453434
Professional Enrollment ID
I20210330000595
Address ID
CO802127418DE4704XSTXX301
Telehealth
Yes

Contacts

Secure Messaging
Susan@Strockmedicalgroup.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,198 NURSE PRACTITIONER in CO

Provider Addresses for SUSAN RENAE HUDSON (NP)

  • 1120 Delaware St Ste 110

    Denver, CO 802042700

    Phone: (303) 720-1845

    Fax: (303) 479-4958

    Type: Location

  • 4124, East 135th Place, Parkridge Villages, Thornton, Adams County, Colorado, 80241, United States

    THORNTON, CO 802411572

    Phone: (303) 808-3870

    Type: Mailing

  • Manhattan Circle, Boulder, Boulder County, Colorado, 80305-9998, United States

    BOULDER, CO 803038201

    Phone: (303) 720-1845

    Fax: (303) 479-4958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,099.

Total Amount is formed as General ($1,099) + Research ($0) + Ownership ($0) = $1,099.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($351).

Total Amount

$1,099

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,099

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210330000595INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133453434View full group profile

Reviews

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Frequently asked questions

Can I cross-check SUSAN RENAE HUDSON (NP) using NPI 1396390480?
NPI 1396390480 belongs to SUSAN RENAE HUDSON (NP); compare other details if you need extra assurance.
Active or inactive — what applies to SUSAN RENAE HUDSON (NP)?
You should see SUSAN RENAE HUDSON (NP) as active in CMS-hosted NPPES data.
What area of care is associated with SUSAN RENAE HUDSON (NP)?
SUSAN RENAE HUDSON (NP)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SUSAN RENAE HUDSON (NP) associated with Denver?
Public fields place SUSAN RENAE HUDSON (NP) around Denver, Colorado. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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