Tanya Renee Hodge, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2631892 Issued in FL

Practice address

12385 Sorrento Rd Ste D4
Pensacola, FL 32507-8656

Phone

(850) 495-9467

Fax

(850) 492-6347

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hodge & Company LLC

  • Adult Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1750855615
  Medicare reassignment NPD Authorized official
• Hni Hospital Services of Florida, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1144851411

  Acute Care

  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment NPD
• Medical Professional Agency Inc

  • Adult Medicine Physician
  • Pensacola, FL
  • NPI 1427174762
  NPD
• Psgfl MSSP, LLC

  • Multi-Specialty Clinic/Center
  • Gulf Breeze, FL
  • NPI 1689557936
  NPD

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

• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1407998909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3779",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325163779",
            "telephone_number": "850-516-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD STE D4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078656",
            "telephone_number": "850-495-9467",
            "fax_number": "850-492-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Office Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325045937",
            "country_code": "US",
            "telephone_number": "850-805-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325145436",
            "country_code": "US",
            "telephone_number": "850-857-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "2631892",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2631892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015171000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - FL",
            "identifier": "Y7819",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonietta Hobbs
• Daniel Paul Hobgood IV, LMT
• Shannon Randall Hobgood, M.D.
• Hodge & Company LLC
• John Daniel Hodge, DDS
• Benjamin Jemison Hodges, D.M.D.
• John L Hodges, PH.D.
• Frank Brooks Hodnette Jr., MD FACS
• Matthew Henry Hoefer, DO
• David Nick Hoellen, M.S., ATC, LAT

• Adult Health Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.