Individual provider Active NPI

Karen Christine Hodges, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1285407825
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-163035 Issued in AL
Practice address
5100 Rangeline Service Rd N # B
Mobile, AL 36619-9504
Phone
(251) 661-4454
Fax
(251) 661-9843
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 1-163035 AL Primary

Addresses

Primary practice location

5100 Rangeline Service Rd N # B
Mobile, AL 36619-9504

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240111002795 AL Practitioner - Nurse Practitioner 7911358148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

610 Providence Park Dr E
Suite 102
Mobile, AL 36695-4618
Phone (251) 639-5070

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

  • Saad Healthcare Home health agency, Mobile, AL, CCN 017025
  • Infirmary Homecare Home health agency, Mobile, AL, CCN 017035
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-163035ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC CurrentSince Nov 22, 2023 Accepting new patients

Locations

5100 Rangeline Service Rd N
#B
Mobile, AL 36619
Phone (251) 661-4454

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

Interoperability endpoints

  • Direct secure messaging: karen.hodges.1@16253.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1285407825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RANGELINE SERVICE RD N # B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199504",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KAREN",
        "middle_name": "CHRISTINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-163035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.