Kelly Denise Hodge, NP - Medicare Nurse Practitioner in Longview, TX

Kelly Denise Hodge, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Longview, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christus Trinity Clinic and her current practice location is 103 W Loop 281 Ste 474, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 871-0455.

Kelly Denise Hodge is licensed to practice in Texas (license number AP134276) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821526146.

Contact Information

Kelly Denise Hodge, NP
103 W Loop 281 Ste 474,
Longview, TX 75605-4603
(903) 871-0455
(877) 541-7468

Map and Direction




Provider's Profile

Full NameKelly Denise Hodge
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location103 W Loop 281 Ste 474, Longview, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Denise Hodge graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1821526146
  • Provider Enumeration Date: 05/31/2017
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123394798
  • Enrollment ID: I20171026000709

Medical Identifiers

Medical identifiers for Kelly Denise Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821526146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AP134276 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care AP134276 (Texas)Primary
363LF0000XNurse Practitioner - Family PENDING (Texas)Secondary
363L00000XNurse Practitioner AP134276 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP134276 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Good Shepherd Medical CenterLongview, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Trinity Clinic30724267411217

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Denise Hodge allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameHealthcare Express Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427120310
PECOS PAC ID: 9739131442
Enrollment ID: O20050210000494

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Denise Hodge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Denise Hodge, NP
2760 Waldrons Ferry Rd,
Hallsville, TX 75650-7680

Ph: (903) 238-6353
Kelly Denise Hodge, NP
103 W Loop 281 Ste 474,
Longview, TX 75605-4603

Ph: (903) 871-0455

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.