MS. FELICIA PHAY HUDDLESTON (FNP) – Family Nurse Practitioner, NPI 1063772515

MS. FELICIA PHAY HUDDLESTON (FNP) is a healthcare provider. based in Marshall, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 696830 (TX). The NPI Number for MS. FELICIA PHAY HUDDLESTON (FNP) is 1063772515

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. FELICIA PHAY HUDDLESTON (FNP)
NPI
1063772515
Phone
(903) 935-9100
Address
402 S BOLIVAR ST
Enumeration Date
17 May 2012
Last Update Date
11 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036141000
Graduation Year
2011 (15 years ago)
PAC ID
1557525144
Group Practice PAC ID
7810359759
Professional Enrollment ID
I20120611000709
Address ID
TX755032372TE2600XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MS. FELICIA PHAY HUDDLESTON (FNP)

  • 402 S BOLIVAR ST

    MARSHALL, TX 756704110

    Phone: (903) 935-9100

    Type: Location

  • PO BOX 67

    BLOOMBURG, TX 755560067

    Phone: (903) 824-1506

    Type: Mailing

  • 1109 COLLEGE DR

    TEXARKANA, TX 755033527

    Phone: (903) 225-9123

    Type: Location

  • 2600 Saint Michael Dr

    Texarkana, TX 755032372

    Phone: (903) 614-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($23).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

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: 2012-06-11

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
I20120611000709INurse PractitionerTXTBD

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
99284Emergency department visit with moderate level of medical decision making10197$0
99285Emergency department visit with high level of medical decision making8181$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2020$0
View full utilization report →

Insurance plans in this area (ZIP 75670)

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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: 7810359759View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineLA
Emergency MedicineNC
Family Practice, Emergency MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency Medicine, Hospitalist, Family PracticeAL
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. FELICIA PHAY HUDDLESTON (FNP)?
MS. FELICIA PHAY HUDDLESTON (FNP) — NPI 1063772515 — is the standard way to identify this listing.
Is MS. FELICIA PHAY HUDDLESTON (FNP) listed as active for patients and plans?
The listing shows MS. FELICIA PHAY HUDDLESTON (FNP) as active in the NPI system.
What taxonomy line describes MS. FELICIA PHAY HUDDLESTON (FNP)?
For research purposes, treat MS. FELICIA PHAY HUDDLESTON (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. FELICIA PHAY HUDDLESTON (FNP) serve?
MS. FELICIA PHAY HUDDLESTON (FNP)'s listing highlights Marshall, Texas; more addresses can appear in NPPES.
Why does MS. FELICIA PHAY HUDDLESTON (FNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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