Individual provider Active NPI

Josh Hodges, NP-C

  • Family Nurse Practitioner
  • Blytheville, AR
National Provider Identifier
1386216455
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212539 Issued in AR
Practice address
1520 N Division St
Blytheville, AR 72315-1448
Phone
(870) 838-7300
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 212539 AR Primary

Addresses

Primary practice location

1520 N Division St
Blytheville, AR 72315-1448

Mailing address

309 Mildred Cir
Osceola, AR 72370-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210825002364 AR Practitioner - Nurse Practitioner 7810392131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1520 N Division St
Blytheville, AR 72315-1448
Phone (870) 838-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi County Hospital System CurrentSince Aug 1, 2021 Accepting new patients
Mississippi County Hospital System CurrentSince Aug 1, 2021 Accepting new patients
Great River Medical Center Past Accepting new patients

Locations

1100 Medical Dr
Blytheville, AR 72315
Phone (870) 762-6725

1522 N Division St
Blytheville, AR 72315
Phone (870) 630-1700

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

Interoperability endpoints

  • Direct secure messaging: josh.hodges.1@15274.direct.athenahealth.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2
  • Direct secure messaging: jhodges@yourcarecommunity.org

Organizations & group practices 3

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.

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1386216455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MILDRED CIR",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DIVISION ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151448",
            "telephone_number": "870-838-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JOSH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.