Individual provider Active NPI

Krista Hodne, MD

  • Internal Medicine Physician
  • Dundee, MI
National Provider Identifier
1851318216
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076560 Issued in MI
Practice address
119 Waterstradt Commerce Dr
Suite #1
Dundee, MI 48131-9695
Phone
(734) 529-6060
NPI assigned
Jul 15, 2006
Last updated
Apr 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076560 MI Primary
Pediatrics Physician 208000000X 4301076560 MI

Addresses

Primary practice location

119 Waterstradt Commerce Dr
Suite #1
Dundee, MI 48131-9695

Mailing address

5301 E Huron River Dr
MC 69504
Ypsilanti, MI 48197-1051
Phone (734) 827-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506000799 WA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4981664927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NFB PLLCGroup PAC ID 8729257209, 5 clinicians

Practice addresses (Care Compare)

6800 E Green Lake Way N
Suite 200
Seattle, WA 98115-5491
Phone (206) 524-5656

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC CurrentSince May 1, 2021 Accepting new patients
Emily Program P C CurrentSince May 1, 2021 Accepting new patients
NFB PLLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689

1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220

6800 E Green Lake Way N
Ste 200
Seattle, WA 98115
Phone (206) 524-5656

2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1851318216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "MC 69504",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-827-8883",
            "fax_number": "734-827-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATERSTRADT COMMERCE DR",
            "address_2": "SUITE #1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481319695",
            "telephone_number": "734-529-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNE",
        "first_name": "KRISTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076560",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, MI

Sources for this page

Verify at the official NPI Registry.