JENNIFER LYNN HUDSON (D.O.) – Family Medicine Physician, NPI 1154617017
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for JENNIFER LYNN HUDSON (D.O.)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
230 S MAPLE ST
GRANT, MI 493279006
Phone: (231) 834-5995
Type: Location
100 CHERRY ST SE
GRAND RAPIDS, MI 495034526
Phone:
Type: Mailing
1003 N LAFAYETTE ST
GREENVILLE, MI 488381168
Phone: (616) 225-9650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Abbott Laboratories ($258).
Total Amount
$291
General + Research + Ownership
Payments
4
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $258 |
| Neurocrine BioSciences, Inc. | $19 |
| Ferring Pharmaceuticals Inc. | $13 |
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: 2017-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170822003400 | I | Obstetrics/Gynecology | MI | TBD |
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.
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 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| O P T O M E T R Y | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Mental Health Counselor | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI |
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