Individual provider Active NPI

Miranda Leigh Hodge, CNP

  • Acute Care Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1578865093
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704374825 Issued in OH
Practice address
840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone
(513) 737-7246
Fax
(513) 737-6601
NPI assigned
Dec 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704374825 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381

Mailing address

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone (513) 737-7246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250813002941 OH Practitioner - Nurse Practitioner 7618475021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beresh Pain ManagementGroup PAC ID 1557454782, 6 clinicians

Practice addresses (Care Compare)

840 NW Washington Blvd
Suite C
Hamilton, OH 45013-6381
Phone (815) 263-8016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
4704374825OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beresh Pain Management CurrentSince Mar 23, 2026 Accepting new patients
CNP Operating Co LLC CurrentSince Jul 24, 2025 Accepting new patients
PA Post Acute Services PC CurrentSince Jul 24, 2025 Accepting new patients
Ut Physicians Past Accepting new patients
Helen Holtman, M.D. and Associates Inc. PastSince Mar 23, 2026 Accepting new patients

Locations

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

840 NW Washington Blvd
Ste C
Hamilton, OH 45013
Phone (513) 737-7246

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1258/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1578865093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MIRANDA",
        "middle_name": "LEIGH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-04",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "4704374825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.