Individual provider Active NPI

Jennifer L Hodge

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1073025599
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175295 Issued in VA
Practice address
2690 Elmhurst LN
Portsmouth, VA 23701-2745
Phone
(757) 488-7500
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175295 VA Primary

Addresses

Primary practice location

2690 Elmhurst LN
Portsmouth, VA 23701-2745

Mailing address

4617 Ardmore LN
Virginia Beach, VA 23456-5038
Phone (757) 816-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121001303 VA Practitioner - Nurse Practitioner 2961850508 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Nov 1, 2023 Accepting new patients
M Medical Group, Inc. CurrentSince Nov 1, 2023 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Sep 1, 2025 Accepting new patients

Locations

688 Kingsborough Sq
Chesapeake, VA 23320
Phone (757) 547-9111

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1073025599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 ARDMORE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234565038",
            "telephone_number": "757-816-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 ELMHURST LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012745",
            "telephone_number": "757-488-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.