DR. MICHAEL JOHN JUDSON (PSYD) – Psychologist, NPI 1396930236

DR. MICHAEL JOHN JUDSON (PSYD) is a healthcare provider. based in Hastings, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 513 (NE). The NPI Number for DR. MICHAEL JOHN JUDSON (PSYD) is 1396930236

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JOHN JUDSON (PSYD)
NPI
1396930236
Phone
(402) 460-1971
Address
4200 W 2ND ST
Enumeration Date
13 September 2007
Last Update Date
10 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024761455
Graduation Year
1998 (28 years ago)
PAC ID
2264819234
Group Practice PAC ID
6800706672
Professional Enrollment ID
I20220512000587
Address ID
NE685031803LI1021XSTXX400

Contacts

Secure Messaging
Michael.Judson.p1@direct.bluestemlincoln.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

200 CLINICAL PSYCHOLOGIST in NE

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Provider Addresses for DR. MICHAEL JOHN JUDSON (PSYD)

  • Hastings Regional Center, 4200, West 2nd Street, Hastings, Adams County, Nebraska, 68902, United States

    P.O. BOX 579

    HASTINGS, NE 689019700

    Phone: (402) 460-1971

    Fax: (402) 460-3144

    Type: Mailing

  • 4200 W 2nd St

    Hastings, NE 689019700

    Phone: (402) 460-1971

    Fax: (402) 460-3144

    Type: Location

  • 1021 N 27TH ST

    LINCOLN, NE 685031803

    Phone: (402) 476-1455

    Fax: (402) 476-1670

    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: 2022-05-12

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
I20220512000587IClinical PsychologistNETBD

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 68901)

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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: 6800706672View full group profile
NameSpecialtyState
Nurse PractitionerNE
Physician AssistantNE
Family PracticeNE
Family Practice, Obstetrics/GynecologyNE
Nurse PractitionerNE
Family PracticeNE
Clinical PsychologistNE
Pediatric Medicine, Internal MedicineNE
Family Practice, Emergency MedicineNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL JOHN JUDSON (PSYD)?
The federal identifier for DR. MICHAEL JOHN JUDSON (PSYD) is NPI 1396930236.
Is DR. MICHAEL JOHN JUDSON (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MICHAEL JOHN JUDSON (PSYD)'s specialty in plain language?
Clinically, the directory lists DR. MICHAEL JOHN JUDSON (PSYD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL JOHN JUDSON (PSYD)'s primary listing?
We display Hastings, Nebraska because that is what the record indicates for DR. MICHAEL JOHN JUDSON (PSYD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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