Individual provider Active NPI

Kristen Hodsdon

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1821007600
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R 099268-4 Issued in MN
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

Updated by the provider on Aug 3, 2018

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 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

IdentifierTypeStateIssuer
742680100OtherMNMEDICAL ASSISTANCE
0107816OtherMNMEDICA
49G79HOOtherMNBLUE CROSS BLUE SHIELD
6982979OtherMNEVERCARE
HP34129OtherMNHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, ME, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20091216000296 MN Practitioner - Nurse Practitioner 5294875621 Reassigns benefits to 1 organization
I20160302002192 TX Practitioner - Nurse Practitioner 5294875621 Reassigns benefits to 2 organizations
I20200608002650 ME Practitioner - Nurse Practitioner 5294875621
I20230630002459 WA Practitioner - Nurse Practitioner 5294875621 Reassigns benefits to 1 organization

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
Quinault Indian NationGroup PAC ID 0446147086, 6 clinicians

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

LicenseStateTypeSpecialty
R 099268-4MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Oct 5, 2016 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 25, 2016 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 25, 2016 Accepting new patients
Micmac Health Department CurrentSince Mar 1, 2020 Accepting new patients
Unity Family Healthcare CurrentSince Mar 20, 2019 Accepting new patients
Unity Family Healthcare Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Oct 5, 2016 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
Quinault Indian Nation CurrentSince May 22, 2023 Accepting new patients
Unity Family Healthcare CurrentSince Mar 20, 2019 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.