Kyle Lacy Hodges, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

147228 Issued in KS

Practice address

212 Maple Ave
Oakley, KS 67748-1220

Phone

(785) 672-3261

Fax

(785) 672-8194

NPI assigned

Aug 8, 2013

Last updated

Apr 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Emergent Care Plus of Overland Park LLCGroup PAC ID 8123153939, 26 clinicians

County of LoganGroup PAC ID 7719890904, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Logan County Hospital Hospital, Oakley, KS, CCN 171326
• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Logan County Senior Living Inc Nursing home, Oakley, KS, CCN 175567
• Logan County Hospital Nursing home, CCN 17Z326

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4
• Direct secure messaging: kyle.hodges.1@11985.direct.athenahealth.com
• Direct secure messaging: kyle.hodges@khindirect.org
• Direct secure messaging: kyle.hodges@srhcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergent Care Plus of Overland Park, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Leavenworth, KS
  • NPI 1811224371
  Medicare reassignment Care Compare group NPD
• Salina Regional Health Center, Inc

  dba Physician Practice Management

  • Surgery Physician
  • Salina, KS
  • NPI 1619952785
  Medicare reassignment Care Compare group NPD
• County of Logan

  • Family Medicine Physician
  • Oakley, KS
  • NPI 1285629535
  Medicare reassignment NPD
• County of Logan

  dba Logan County Hospital

  • Critical Access Hospital
  • Oakley, KS
  • NPI 1821087230
  Medicare reassignment NPD
• County of Logan

  • Family Medicine Physician
  • Colby, KS
  • NPI 1780934927
  NPD
• County of Logan

  dba Urgent Care Clinic

  • Family Medicine Physician
  • Oakley, KS
  • NPI 1902428840
  NPD
• Salina Regional Health Center Inc

  dba Salina Regional Pain Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Salina, KS
  • NPI 1356203715
  NPD
• Salina Regional Health Center, Inc.

  • Family Medicine Physician
  • Salina, KS
  • NPI 1508109299
  NPD
• Comcare, P.a

  • Family Medicine Physician
  • Salina, KS
  • NPI 1124083373
  NPD (past)

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

• County of Logan

  dba Logan County Hospital

  • Critical Access Hospital
  • Oakley, KS
  • NPI 1821087230
  Care Compare affiliation
• County of Logan

  dba Logan County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oakley, KS
  • NPI 1881789659

  Nursing home

  Care Compare affiliation
• Logan County Senior Living Inc

  • Skilled Nursing Facility
  • Oakley, KS
  • NPI 1144842287

  Nursing home

  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1821420126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KYLE",
        "middle_name": "LACY",
        "name_prefix": "Mr.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "147228",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "147228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106750A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A RHC",
            "identifier": "1679544811",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106750D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty L Finlay, RN
• Lynelle A Fossum, ARNP
• Casondra Lynn Frey
• Steven Lee Golden, DC
• John Joseph Herscher, D.O.
• Randi K Holzmeister, LPN
• Jonna K Inman, ARNPC
• Joshua J. Gooden, Optometrist, P.a.
• Julie Ann Juenemann, APRN
• Kerri Deann Kaus, ARNP

• Family Nurse Practitioner in Oakley, KS
• Providers in Oakley, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.