Active NPI
Kristen Hodsdon
- Family Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 099268-4
- Practice address
- 1213 E Franklin Ave
Minneapolis, MN 55404 - Phone
- (612) 872-8086
- Fax
- (612) 872-8547
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 099268-4 | MN | Primary |
Addresses
Primary practice location
1213 E Franklin Ave
Minneapolis, MN 55404
Mailing address
525 Portland Ave
MC: 952
Minneapolis, MN 55415-1533
Phone (612) 348-3033
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742680100 | Other | MN | MEDICAL ASSISTANCE |
| 0107816 | Other | MN | MEDICA |
| 49G79HO | Other | MN | BLUE CROSS BLUE SHIELD |
| 6982979 | Other | MN | EVERCARE |
| HP34129 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX, ME, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Kla Ook Wa Dr
Taholah, WA 98587
Phone (360) 276-4405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 099268-4 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoreau Clinic | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Micmac Health Department | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| Quinault Indian Nation | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Hennepin County | Past | Accepting new patients | |
| Hennepin County | Past | Accepting new patients | |
| Hennepin County | Past | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
8 Northern Rd
Presque Isle, ME 04769
Phone (207) 764-1792
811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
Interoperability endpoints
- kristen.hodsdon@rshc.directbygreenway.com
Organizations & group practices 14
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.
-
- Rural Health Clinic/Center
- Taholah, WA
- NPI 1093888547
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Home Health Agency
- Little Falls, MN
- NPI 1952329047
-
- Primary Care Clinic/Center
- Presque Isle, ME
- NPI 1831312313
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
-
- Public Health or Welfare Agency
- Minneapolis, MN
- NPI 1619041845
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1821007600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE",
"address_2": "MC: 952",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151533",
"telephone_number": "612-348-3033",
"fax_number": "612-348-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 E FRANKLIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-872-8086",
"fax_number": "612-872-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODSDON",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 099268-4",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "742680100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0107816",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49G79HO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "6982979",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP34129",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.