Individual provider Active NPI

Jolene Hodges, NP

  • Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1316595200
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003158 Issued in FL
Practice address
30525 SW 193Rd CT
Homestead, FL 33030-3656
Phone
(786) 470-7728
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11003158 FL Primary

Addresses

Primary practice location

30525 SW 193Rd CT
Homestead, FL 33030-3656

Mailing address

30525 SW 193Rd CT
Homestead, FL 33030-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210304000997 FL Practitioner - Nurse Practitioner 8426464140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13249 SW 230TH St
Miami, FL 33170-4341
Phone (786) 470-7728

Hospital & facility affiliations

  • The Palace at Home Home health agency, Miami, FL, CCN 107653
  • Aveanna Home Health Home health agency, Doral, FL, CCN 108272
  • J & C Sweet Home Care LLC Home health agency, Miami Lakes, FL, CCN 109391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003158FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Services at Home, LLC CurrentSince Jan 15, 2021 Accepting new patients

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1316595200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30525 SW 193RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30525 SW 193RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303656",
            "telephone_number": "786-470-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JOLENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.