Individual provider Active NPI

Leeann Hoodjer, DNP, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1104073428
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G110925 Issued in IA
Practice address
118 1St St SW
Waverly, IA 50677-3321
Phone
(319) 251-2568
Fax
(319) 249-0347
NPI assigned
Aug 19, 2008
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-110925 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G110925 IA Primary

Addresses

Primary practice location

118 1St St SW
Waverly, IA 50677-3321

Mailing address

118 1St St SW
Waverly, IA 50677-3321
Phone (319) 251-2568

Other practice location 1

100 Wartburg Blvd
Waverly, IA 50677-2215
Phone (319) 251-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-110925IAMDFamily Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1104073428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 1ST ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773321",
            "telephone_number": "319-251-2568",
            "fax_number": "319-249-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 1ST ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773321",
            "telephone_number": "319-251-2568",
            "fax_number": "319-249-0347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wartburg Blvd",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506772215",
            "country_code": "US",
            "telephone_number": "319-251-2568",
            "fax_number": "319-249-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOODJER",
        "first_name": "LEEANN",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-110925",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G110925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.