Ambyr Dawn Hodkins, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0998582 Issued in CO

Practice address

412 N C St
Cripple Creek, CO 80813-5052

Phone

(719) 820-7740

Fax

(719) 358-8299

NPI assigned

Apr 4, 2023

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 CO

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gorman Medical LLCGroup PAC ID 1557583135, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

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.

• Gorman Medical LLC

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1588089718
  Medicare reassignment Care Compare group NPD

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

• Uchealth Pikes Peak Regional Hospital

  • Critical Access Hospital
  • Woodland Park, CO
  • NPI 1275703910
  Care Compare affiliation

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1689379083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N C ST",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808135052",
            "telephone_number": "719-820-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N C ST",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808135052",
            "telephone_number": "719-820-7740",
            "fax_number": "719-358-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODKINS",
        "first_name": "AMBYR",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversus Health Inc (Diversus Health Services)
• Diversus Health Inc (Diversus Health Services)
• Gorman Medical LLC (Gorman Medical Cripple Creek Victor)
• Lorraine Gwen Grube, PA-C
• Robin R Halper, LPC
• JMJ III (Forest Edge Dental Care)
• Kurt a Wever MD PC
• Nicole Leadley, DDS
• Sadie Ann Miller
• Whitney Oden

• Family Nurse Practitioner in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.