Individual provider Active NPI

Sandra Kelly Hoke, FNP-BC

  • Family Nurse Practitioner
  • Moraine, OH
National Provider Identifier
1881270049
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.324241 Issued in OH
Practice address
3445 S Dixie Dr Ste 100
Moraine, OH 45439-2328
Phone
(937) 534-0154
NPI assigned
Mar 18, 2021
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 RN.324241 OH Primary

Addresses

Primary practice location

3445 S Dixie Dr Ste 100
Moraine, OH 45439-2328

Mailing address

7537 Sweet Potato Ridge Rd
Brookville, OH 45309-8206
Phone (937) 470-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210610002734 OH Practitioner - Nurse Practitioner 7113327206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Mobile MD Ohio LLCGroup PAC ID 7618372442, 11 clinicians
Geriatric Care Providers IncGroup PAC ID 1052744885, 4 clinicians

Practice addresses (Care Compare)

Galloway, OH 43119
Phone (765) 969-7841

1896 Amys Ridge CT
Beavercreek, OH 45434-7192
Phone (937) 534-0172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.324241OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Care Providers Inc CurrentSince Sep 27, 2021 Accepting new patients
My Mobile MD Ohio Psychiatric Services LLC CurrentSince Jul 22, 2025 Accepting new patients
My Mobile MD Ohio LLC CurrentSince Jan 1, 2024 Accepting new patients
Dayton Pulmonary and Critical Care, Inc PastSince Apr 9, 2023 Accepting new patients

Locations

3195 Dayton Xenia Rd
#309
Dayton, OH 45434

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1881270049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 SWEET POTATO RIDGE RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098206",
            "telephone_number": "937-470-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 S DIXIE DR STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392328",
            "telephone_number": "937-534-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKE",
        "first_name": "SANDRA",
        "middle_name": "KELLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.324241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.