COURTNEY HODGE (FNP-C) – Family Nurse Practitioner, NPI 1003503582

COURTNEY HODGE (FNP-C) is a healthcare provider. based in Santa rosa beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN11025254 (FL). The NPI Number for COURTNEY HODGE (FNP-C) is 1003503582

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY HODGE (FNP-C)
NPI
1003503582
Phone
(850) 622-0873
Address
27 Mack Bayou Loop Ste 1000
Enumeration Date
24 April 2023
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505266707
Graduation Year
2022 (4 years ago)
PAC ID
9335501311
Group Practice PAC ID
8729059472
Professional Enrollment ID
I20230809000367
Address ID
FL324461927MA4230XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,500 NURSE PRACTITIONER in FL

Provider Addresses for COURTNEY HODGE (FNP-C)

  • 27 Mack Bayou Loop Ste 1000

    Santa Rosa Beach, FL 324592613

    Phone: (850) 622-0873

    Fax: (850) 622-1912

    Type: Location

  • 4230 Hospital Dr Ste 101

    Marianna, FL 324461927

    Phone: (850) 526-6707

    Fax: (850) 718-2887

    Type: Location

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 2900 S HIGHWAY 77 STE 100

    LYNN HAVEN, FL 324445612

    Phone: (850) 804-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $2,877.

Total Amount is formed as General ($2,877) + Research ($0) + Ownership ($0) = $2,877.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($294).

Total Amount

$2,877

General + Research + Ownership

Payments

121

Total payment records

General Amount

$2,877

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230809000367INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 32459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729059472View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
General Surgery, General PracticeFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerFL
-IN
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What is COURTNEY HODGE (FNP-C)'s NPI number?
COURTNEY HODGE (FNP-C)'s NPI is 1003503582 — the number used across U.S. healthcare to identify this provider.
Is there an active status for COURTNEY HODGE (FNP-C)?
For scheduling context, COURTNEY HODGE (FNP-C) is shown as active in the registry.
How would a patient describe COURTNEY HODGE (FNP-C)'s focus?
For COURTNEY HODGE (FNP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COURTNEY HODGE (FNP-C)?
Travel planning: use Santa Rosa Beach, Florida as the reference point for COURTNEY HODGE (FNP-C), then confirm.
When was this NPI issued?
Enumeration for COURTNEY HODGE (FNP-C) is noted as April 24, 2023 where the registry provides it.

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