Organization Active NPI

Beverly M Hodges Advanced Practice Registered Nursing Inc

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1083227797
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BEVERLY M HODGES ADVANCED PRACTICE REGISTERED NURSING INC
Doing business as
Wound-1
Practice address
814 14TH St Ste E
Modesto, CA 95354-1028
Phone
(209) 800-4000
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Beverly Hodges, NPNPI 1568995546
Title
Provider
Phone
(209) 800-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

814 14TH St Ste E
Modesto, CA 95354-1028

Mailing address

814 14TH St Ste E
Modesto, CA 95354-1028
Phone (209) 800-4000

Other names 1

  • Wound-1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502002182 CA Part B Supplier - Clinic/Group Practice 0143660563 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Beverly M Hodges Aprn Inc814 14TH St, Modesto, CA 95354-1028(209) 486-7779 Heat & Cold Applications|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Ultraviolet Light Devices and/or Supplies|Enteral Equipment and/or Supplies|Surgical Dressings|Unknown|Lymphedema Compression Trea… Accepts assignmentParticipating since Mar 18, 2024

National Provider Directory

National Provider Directory

Locations

509 13th St
Ste 1
Modesto, CA 95354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1083227797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 14TH ST STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541028",
            "telephone_number": "209-800-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 14TH ST STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541028",
            "telephone_number": "209-800-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY M HODGES ADVANCED PRACTICE REGISTERED NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "209-800-4000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound-1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.