Physician Compare National (NPI:1558723270)

HEALTHCARE PROVIDER: CRYSTAL HUDSON NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558723270
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284926734
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160701001870
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDSON
	Individual professional last name
Provider First Name	CRYSTAL
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SUMNER PHYSICIAN PRACTICES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8820283260
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	40
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	555 HARTSVILLE PIKE
	Group Practice or individual's line 1 address
City	GALLATIN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	370662400
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6153288888
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRISTAR HENDERSONVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440003
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUMNER REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y