Kedrin Nicole Hodges, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

216136 Issued in OK

Practice address

1801 W 3Rd St
Elk City, OK 73644-5145

Phone

(855) 285-2455

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, OK2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Uniformed Services Uhs Fe Hebert School of Med, 2010

Medicare assignment

May accept Medicare assignment

Group practices

SC Anesthesia LLCGroup PAC ID 7012382468, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• SC Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Ada, OK
  • NPI 1962106013

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1982901237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E 7TH ST APT 3105",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736448005",
            "telephone_number": "252-626-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445145",
            "telephone_number": "855-285-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Cradduck Rd",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748209400",
            "country_code": "US",
            "telephone_number": "405-514-4786",
            "fax_number": "405-758-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KEDRIN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "216136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetlevia R Jensen MD PLLC
• Ashley Ann Higgins, MSN, ARNP
• High Plains Obstetrics & Gynecology Inc PC
• Nicole Hill
• Tanya N Hiss, BSW
• Trudy L Hoffman, LADC
• Mariah Hollister, PTA
• Homestead of Elk City Operations LLC
• Holly Lenn Hooper-Stover
• Heather Sue Hornberger, BS

• Certified Registered Nurse Anesthetist in Elk City, OK
• Providers in Elk City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.