JENNA NICOLE HODGES – Certified Registered Nurse Anesthetist, NPI 1568020154

JENNA NICOLE HODGES is a healthcare provider. based in Portland, Maine. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 205059 (CO). The NPI Number for JENNA NICOLE HODGES is 1568020154

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNA NICOLE HODGES
NPI
1568020154
Phone
(207) 221-4516
Address
716 STEVENS AVE
Enumeration Date
30 May 2019
Last Update Date
22 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077778100
Graduation Year
2021 (5 years ago)
PAC ID
1759789019
Group Practice PAC ID
0042107120
Professional Enrollment ID
I20211018001718
Address ID
ME042406030LE93XXXAVEX300

Contacts

Secure Messaging
jhodges1519905@direct-prd.goodhelpconnections.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

533 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ME

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Provider Addresses for JENNA NICOLE HODGES

  • 716, Stevens Avenue, Morrills Corner, Deering Center, Portland, Cumberland County, Maine, 04103, United States

    PORTLAND, ME 041032656

    Phone: (207) 221-4516

    Type: Location

  • 716 Stevens Ave

    Portland, ME 041032656

    Phone: (207) 221-4516

    Type: Location

  • 93 CAMPUS AVE

    LEWISTON, ME 042406030

    Phone: (207) 777-8442

    Type: Location

  • Main Street, Westbrook, Toowoomba Regional, Queensland, Australia

    WESTBROOK, ME 040924717

    Phone: (303) 506-7192

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-10-18

PECOS data refreshed: 2026-05-27

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
I20211018001718ICertified Registered Nurse Anesthetist (Crna)METBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 04103)

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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: 0042107120View full group profile

Reviews

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Frequently asked questions

What is JENNA NICOLE HODGES's NPI number?
JENNA NICOLE HODGES's NPI is 1568020154 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JENNA NICOLE HODGES?
You should see JENNA NICOLE HODGES as active in CMS-hosted NPPES data.
What kind of doctor is JENNA NICOLE HODGES?
JENNA NICOLE HODGES is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is JENNA NICOLE HODGES located near Portland?
JENNA NICOLE HODGES currently maps to Portland, Maine in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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