ANN CUDNEY (NP) – Nurse Practitioner, NPI 1396384426

ANN CUDNEY (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704318541 (MI). The NPI Number for ANN CUDNEY (NP) is 1396384426

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANN CUDNEY (NP)
NPI
1396384426
Phone
(616) 259-7900
Address
1131 IONIA AVE NW
Enumeration Date
7 January 2020
Last Update Date
27 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168425350
Graduation Year
2019 (7 years ago)
PAC ID
7618385055
Group Practice PAC ID
0042118036
Professional Enrollment ID
I20210422003106
Address ID
MI494171569GR1111XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ANN CUDNEY (NP)

  • 1131 IONIA AVE NW

    GRAND RAPIDS, MI 495031020

    Phone: (616) 259-7900

    Fax: (616) 259-7901

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,461.

Total Amount is formed as General ($1,461) + Research ($0) + Ownership ($0) = $1,461.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($514).

Total Amount

$1,461

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-04-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210422003106INurse PractitionerMITBD

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 49503)

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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: 0042118036View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference ANN CUDNEY (NP)?
For ANN CUDNEY (NP), use NPI 1396384426 as the unique 10-digit identifier.
Is ANN CUDNEY (NP) shown as active in public data?
Registry records indicate ANN CUDNEY (NP) maintains an active NPI.
What kind of doctor is ANN CUDNEY (NP)?
ANN CUDNEY (NP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is ANN CUDNEY (NP) associated with Grand Rapids?
Public fields place ANN CUDNEY (NP) around Grand Rapids, Michigan. 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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