MR. CHAD N HUDSON (P.A.) – Physician Assistant, NPI 1023075124

MR. CHAD N HUDSON (P.A.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA961 (OK). The NPI Number for MR. CHAD N HUDSON (P.A.) is 1023075124

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD N HUDSON (P.A.)
NPI
1023075124
Phone
(405) 752-3162
Address
4401 W MEMORIAL RD
Enumeration Date
1 May 2006
Last Update Date
20 May 2014

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5806237211
Graduation Year
1998 (28 years ago)
PAC ID
2163455155
Group Practice PAC ID
6305002759
Professional Enrollment ID
I20050912000037
Address ID
OK737722845WA500XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for MR. CHAD N HUDSON (P.A.)

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    SUITE 140

    OKLAHOMA CITY, OK 731341785

    Phone: (405) 752-3162

    Fax: (405) 936-5211

    Type: Mailing

  • AllianceHealth Midwest, 2825, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States

    MIDWEST CITY, OK 731104201

    Phone: (405) 610-4411

    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: 2005-09-12

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
I20050912000037IPhysician AssistantOKTBD

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 73134)

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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: 6305002759View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
-OK
Physician AssistantOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I cross-check MR. CHAD N HUDSON (P.A.) using NPI 1023075124?
NPI 1023075124 belongs to MR. CHAD N HUDSON (P.A.); compare other details if you need extra assurance.
Is MR. CHAD N HUDSON (P.A.) shown as active in public data?
Registry records indicate MR. CHAD N HUDSON (P.A.) maintains an active NPI.
How would a patient describe MR. CHAD N HUDSON (P.A.)'s focus?
For MR. CHAD N HUDSON (P.A.), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. CHAD N HUDSON (P.A.) located near Oklahoma City?
MR. CHAD N HUDSON (P.A.) currently maps to Oklahoma City, Oklahoma 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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