Active NPI
Lea-Ana Rae Hodges, AGNP-BC
- Adult Health Nurse Practitioner
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2016041030
- Practice address
- 10345 Watson Road
St. Louis, MO 63127 - Phone
- (314) 384-3584
- Fax
- (314) 965-6067
- NPI assigned
- Nov 17, 2016
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2016041030 | MO | Primary |
Addresses
Primary practice location
10345 Watson Road
St. Louis, MO 63127
Mailing address
10345 Watson Road
St. Louis, MO 63127
Phone (314) 384-3584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420074643 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700
4455 Duncan Ave
Saint Louis, MO 63110-1111
Phone 31465838004154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016041030 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Impact Physician Group, Missouri, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Past | Accepting new patients | |
| Arnold Family Medicine LLC | Past | Accepting new patients |
Locations
3619 Richardson Square Dr
Ste 170
Arnold, MO 63010
Phone (636) 717-6776
1717 Catlin Dr
Barnhart, MO 63012
Phone (636) 741-3233
10004 Kennerly Rd
Ste 186B
Saint Louis, MO 63128
Phone (314) 543-5969
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
10345 Watson Rd
Saint Louis, MO 63127
Phone (314) 384-3584
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
12700 Southfork Rd
Ste 280
Saint Louis, MO 63128
Phone (314) 525-4990
216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181
216 W Main St
Steele, MO 63877
Phone (573) 695-2181
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGJGAA
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Bridgeton, MO
- NPI 1962971531
-
- Clinic/Center
- Malden, MO
- NPI 1003407883
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- Kennett, MO
- NPI 1124679774
-
- Clinic/Center
- Saint Louis, MO
- NPI 1326721283
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
-
- Adult Medicine Physician
- Arnold, MO
- NPI 1396035721
-
- Family Medicine Physician
- Steele, MO
- NPI 1164440806
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Saint Louis, MO
- NPI 1770557431
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1831632165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10345 WATSON ROAD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-384-3584",
"fax_number": "314-965-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10345 WATSON ROAD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-384-3584",
"fax_number": "314-965-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "LEA-ANA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "AGNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2016041030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420074643",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.