Individual provider Active NPI

Ann Hodgman, CNP

  • Family Medicine Physician
  • Sturgis, SD
National Provider Identifier
1992739320
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CP000216 Issued in 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
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R023144 SD
Family Medicine Physician 207Q00000X CP000216 SD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20090311000680 SD Practitioner - Nurse Practitioner 4587720859 Practice locations: Sturgis, SD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000216SDMDFamily Medicine Physician
R023144SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Physicians Inc Past Accepting new patients

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1992739320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BALLPARK RD STE 3",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852208",
            "telephone_number": "605-720-4520",
            "fax_number": "605-719-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BALLPARK RD STE 3",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852208",
            "telephone_number": "605-720-4520",
            "fax_number": "605-720-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGMAN",
        "first_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "R023144",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "CP000216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

Verify at the official NPI Registry.