GRACIA TOLENTINO HUDSON (PA-C) – Physician Assistant, NPI 1568404002
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
396 PHYSICIAN ASSISTANT in MS
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Provider Addresses for GRACIA TOLENTINO HUDSON (PA-C)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 782070903
Phone: (210) 358-0572
Fax: (210) 358-5940
Type: Mailing
3616, Hospital Street, Pascagoula, Jackson County, Mississippi, 39567, United States
PASCAGOULA, MS 395814117
Phone: (228) 872-7684
Fax: (228) 762-7109
Type: Mailing
3890, Bienville Boulevard, Ocean Springs, Jackson County, Mississippi, 39564, United States
OCEAN SPRINGS, MS 395645803
Phone: (228) 872-6291
Fax: (228) 875-3385
Type: Location
11551 SAGEBROOKE RUN
SAN ANTONIO, TX 782544836
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($247).
Total Amount
$576
General + Research + Ownership
Payments
6
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $247 |
| Madrigal Pharmaceuticals | $150 |
| Ardelyx, Inc. | $149 |
| ABBVIE INC. | $31 |
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: 2024-08-28
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120416000586 | I | Physician Assistant | MS | TBD |
| I20240828002551 | I | Physician Assistant | TX | TBD |
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.
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 78207)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MS | 11042 | Removal of skin and tissue first 20 sq cm or less | 19 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Hospitalist, Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX |
Reviews
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