Ann Hodgman, CNP
Individual provider Active NPI Family Medicine Physician · Sturgis, SD
NPI 1992739320 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1992739320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CP000216 (SD)
- Practice address
- 1010 Ballpark Rd Ste 3
Sturgis, SD 57785-2208 - Phone
- (605) 720-4520
- Fax
- (605) 720-4525
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090311000680 | SD | Practitioner - Nurse Practitioner | 4587720859 | Practice locations: Sturgis, SD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Physicians Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R023144 | SD | |
| Family Medicine Physician | 207Q00000X | CP000216 | SD | Yes |
Addresses
Primary practice location
1010 Ballpark Rd Ste 3
Sturgis, SD 57785-2208
Mailing address
1010 Ballpark Rd Ste 3
Sturgis, SD 57785-2208
Phone (605) 720-4520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5300840 | Medicaid | SD |
Other providers in Sturgis, SD
- Kathrine Harwood
- Shirley Jean Hauge
- Jay Heeren
- H Thomas Hermann Jr.
- Brian Lee Hettinger
- Michael E Hogue
- Kendall E Holst
- Diana Holzer
- Hugs Haven Assisted Living LLC
- Krista Lynn-Steinbeisser Iverson
All providers in Sturgis, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.