Crystal M. Hodge

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN.CNP.0030756 Issued in OH

Practice address

4850 Smith Rd Ste 250
Cincinnati, OH 45212-2733

Phone

(513) 699-9090

Fax

(513) 258-2053

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

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.

• Central Ohio Hospitalists, Inc

  • Specialist
  • Columbus, OH
  • NPI 1659455145
  Medicare reassignment Care Compare group NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312
  Medicare reassignment Care Compare group NPD
• Geriatric Providers and Hospitalists Inc

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1578687687
  Medicare reassignment NPD
• Medical Housecalls LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1962745083
  Medicare reassignment NPD
• Midwest Hospitalists, Inc

  • Hospitalist Physician
  • Blue Ash, OH
  • NPI 1356465439
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1508511692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 DAWSON DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450441254",
            "telephone_number": "513-869-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SMITH RD STE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122733",
            "telephone_number": "513-699-9090",
            "fax_number": "513-258-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "CRYSTAL",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0030756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie J Hoctor
• Elizabeth Hodapp
• Robert Clarence Hodapp, PTA
• Jonathan Ezra Hodes, M.D.
• Alexis Hodge, RA
• Hayley Elizabeth Hodge
• Morgan Hodge
• Samuel Thomas Hodge, LPC
• Thelma Hodge
• Tracy L Hodge, DDS

• Adult Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.