Jaci Ranea Hodges, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3097 Issued in OK

Practice address

1501 Main St
Woodward, OK 73801-3043

Phone

(580) 254-5316

Fax

(580) 256-6508

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenan Kirkendall, D.O., PCGroup PAC ID 5991966590, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carter Healthcare of Central Oklahoma, LLC Home health agency, Oklahoma City, OK, CCN 377478
• Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jaci.hodges.1@5516.direct.athenahealth.com

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.

• Kenan Kirkendall, D.O., PC

  • Family Medicine Physician
  • Woodward, OK
  • NPI 1396890034
  Medicare reassignment Care Compare group
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Carter Healthcare of Central Oklahoma, LLC

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1578667705
  Care Compare affiliation
• Integris Health Woodward Hospital Inc

  • General Acute Care Hospital
  • Woodward, OK
  • NPI 1558148627
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1740848878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013043",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013043",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JACI",
        "middle_name": "RANEA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Hillman
• Kirstyn Colleen Hines, OTD, OTR/L
• Scotty Hixson
• Hmrok LLC
• Hmrok LLC
• Baylee P. Hoffman
• Taitum P Hoffman
• Elba Holguin
• Kelly R Holson
• Marsha Kay Hoock, TEACHER

• Physician Assistant in Woodward, OK
• Providers in Woodward, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.