Individual provider Active NPI

Dorcas Hodges

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1477215895
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015995A Issued in IN
Practice address
1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone
(574) 234-9033
Fax
(574) 847-7200
NPI assigned
Oct 13, 2021
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71015995A IN
Family Nurse Practitioner 363LF0000X 71015995A IN Primary
Family Nurse Practitioner 363LF0000X 4704339664 MI

Addresses

Primary practice location

1901 W Western Ave Ste B
South Bend, IN 46619-3570

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other practice location 1

765 S Michigan St
South Bend, IN 46601-3101
Phone (574) 235-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220629002088 MI Practitioner - Nurse Practitioner 2961882519 Reassigns benefits to 1 organization
I20241212003870 IN Practitioner - Nurse Practitioner 2961882519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

1901 W Western Ave B
Ihc at Southbend
South Bend, IN 46619-3570
Phone (574) 234-9033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015995AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Jun 5, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Jun 5, 2022 Accepting new patients
Indiana Health Centers, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Indiana Health Centers Inc CurrentSince Dec 6, 2024 Accepting new patients
Indiana Health Centers, Inc. Family Past Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
Indiana Health Centers, Inc. Family Past Accepting new patients
Indiana Health Centers, Inc Past Accepting new patients

Locations

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

1010 N Bendix Dr
South Bend, IN 46628
Phone (574) 245-4980

1901 W Western Ave
Ste B
South Bend, IN 46619
Phone (574) 234-9033

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Organizations & group practices 8

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1477215895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WESTERN AVE STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193570",
            "telephone_number": "574-234-9033",
            "fax_number": "574-847-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 S Michigan St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466013101",
            "country_code": "US",
            "telephone_number": "574-235-7990",
            "fax_number": "574-847-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "DORCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71015995A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015995A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704339664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.