MRS. CARRIE MARIE JUDD (PA-C) – Physician Assistant, NPI 1760883623

MRS. CARRIE MARIE JUDD (PA-C) is a healthcare provider. based in Livonia, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007153 (MI). The NPI Number for MRS. CARRIE MARIE JUDD (PA-C) is 1760883623

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CARRIE MARIE JUDD (PA-C)
NPI
1760883623
Phone
(248) 471-7171
Address
20010 FARMINGTON RD
Enumeration Date
10 September 2014
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484717171
Graduation Year
2014 (12 years ago)
PAC ID
3779801568
Group Practice PAC ID
9234151366
Professional Enrollment ID
I20150407000863
Address ID
MI481521408LI20010RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

6,112 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. CARRIE MARIE JUDD (PA-C)

  • 20010 FARMINGTON RD

    LIVONIA, MI 481521408

    Phone: (248) 471-7171

    Fax: (248) 471-1212

    Type: Mailing

  • 1824 LATHERS ST

    GARDEN CITY

    GARDEN CITY, MI 481353035

    Phone: (734) 837-4907

    Type: Mailing

  • 19933 W 13 MILE RD

    SOUTHFIELD

    SOUTHFIELD, MI 480761024

    Phone: (248) 203-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-04-07

PECOS data refreshed: 2026-06-15

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
I20150407000863IPhysician AssistantMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes21475$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16672$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8450$0
99213Established patient office or other outpatient visit, 20-29 minutes7473$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4848$0
View full utilization report →

Insurance plans in this area (ZIP 48152)

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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: 9234151366View full group profile
NameSpecialtyState
Nurse PractitionerMI
Psychiatry, Addiction Medicine, Neuropsychiatry, Pain ManagementMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
P S Y C H I A T R YMI
Physician AssistantMI
P S Y C H I A T R YMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is MRS. CARRIE MARIE JUDD (PA-C)'s NPI number?
MRS. CARRIE MARIE JUDD (PA-C)'s NPI is 1760883623 — the number used across U.S. healthcare to identify this provider.
Is MRS. CARRIE MARIE JUDD (PA-C) shown as active in public data?
Registry records indicate MRS. CARRIE MARIE JUDD (PA-C) maintains an active NPI.
How would a patient describe MRS. CARRIE MARIE JUDD (PA-C)'s focus?
For MRS. CARRIE MARIE JUDD (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. CARRIE MARIE JUDD (PA-C) located near Livonia?
MRS. CARRIE MARIE JUDD (PA-C) currently maps to Livonia, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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