Individual provider Active NPI

Paul Samuel Hodnett, NP

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1629784434
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1110870 Issued in TX
Practice address
32 County Road 43340
Paris, TX 75462-1500
Phone
(979) 220-9073
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 1110870 TX Primary

Addresses

Primary practice location

32 County Road 43340
Paris, TX 75462-1500

Mailing address

32 County Road 43340
Paris, TX 75462-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230626000298 TX Practitioner - Nurse Practitioner 0840658712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians

Practice addresses (Care Compare)

1139 N Loop
Suite 340
Waco, TX 76705-2486
Phone (254) 799-8343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC CurrentSince Apr 17, 2023 Accepting new patients

Locations

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

Organizations & group practices 1

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1629784434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COUNTY ROAD 43340",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754621500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COUNTY ROAD 43340",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754621500",
            "telephone_number": "979-220-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNETT",
        "first_name": "PAUL",
        "middle_name": "SAMUEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1110870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.