NICHOLAS WAYNE HUDSON (ACNPC-AG) – Nurse Practitioner, NPI 1164121851

NICHOLAS WAYNE HUDSON (ACNPC-AG) is a healthcare provider. based in Texarkana, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNPC-AG. They hold a License No. 223495 (AR). The NPI Number for NICHOLAS WAYNE HUDSON (ACNPC-AG) is 1164121851

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS WAYNE HUDSON (ACNPC-AG)
NPI
1164121851
Phone
(903) 792-6114
Address
1920 Galleria Oaks Dr
Enumeration Date
1 March 2023
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7692436141
Graduation Year
2022 (4 years ago)
PAC ID
3274908108
Group Practice PAC ID
5193056364
Professional Enrollment ID
I20230501001620
Address ID
AR71801XXXXHOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for NICHOLAS WAYNE HUDSON (ACNPC-AG)

  • 1920 Galleria Oaks Dr

    Texarkana, TX 755034619

    Phone: (903) 792-6114

    Type: Location

  • 222 N FREDONIA ST STE 220

    LONGVIEW, TX 756017222

    Phone: (903) 215-3149

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($124).

Total Amount

$145

General + Research + Ownership

Payments

8

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$124
ABBVIE INC.$21
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: 2023-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230406002899INurse PractitionerTXTBD
I20230501001620INurse PractitionerARTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes11824$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes9525$0
11042Removal of skin and tissue, 20.0 sq cm or less8716$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 5193056364View full group profile
NameSpecialtyState
Nurse PractitionerSC
Nurse PractitionerMS
Nurse PractitionerTX
Nurse PractitionerNC
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerFL
Nurse PractitionerNC
-TX
Nurse PractitionerMS

Reviews

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Frequently asked questions

What identifier follows NICHOLAS WAYNE HUDSON (ACNPC-AG) across health systems?
The NPI 1164121851 uniquely identifies NICHOLAS WAYNE HUDSON (ACNPC-AG) in U.S. healthcare data.
Is NICHOLAS WAYNE HUDSON (ACNPC-AG) currently accepting referrals based on NPI status?
Registry metadata lists NICHOLAS WAYNE HUDSON (ACNPC-AG) as active.
Which specialty label fits NICHOLAS WAYNE HUDSON (ACNPC-AG)?
NPPES ties NICHOLAS WAYNE HUDSON (ACNPC-AG) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is NICHOLAS WAYNE HUDSON (ACNPC-AG) tied to Texarkana, Texas?
If you are local to Texarkana, Texas, NICHOLAS WAYNE HUDSON (ACNPC-AG) may be relevant to your search.
Can I export NICHOLAS WAYNE HUDSON (ACNPC-AG)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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