CYNTHIA HODGE – Nurse Practitioner, NPI 1477031912

CYNTHIA HODGE is a healthcare provider. based in Hermiston, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 201804811RN (OR). The NPI Number for CYNTHIA HODGE is 1477031912

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA HODGE
NPI
1477031912
Phone
(541) 567-1717
Address
589 NW 11TH ST
Enumeration Date
6 August 2018
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098656175
Graduation Year
2018 (8 years ago)
PAC ID
5991056392
Group Practice PAC ID
4385541986
Professional Enrollment ID
I20180925000851
Address ID
OR972664617PO9047XRDXX400

Contacts

Secure Messaging
chodge25719@yvfwc.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:7State licenses:3Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for CYNTHIA HODGE

  • 589, Northwest 11th Street, Hermiston, Umatilla County, Oregon, 97838, United States

    HERMISTON, OR 978386600

    Phone: (541) 567-1717

    Fax: (541) 564-5994

    Type: Mailing

  • 9047 SE FOSTER RD

    PORTLAND, OR 972664617

    Phone: (503) 772-8751

    Fax: (503) 772-7910

    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: 2018-09-25

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
I20180925000851INurse PractitionerORTBD

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
83036Hemoglobin a1c level1412$0
View full utilization report →

Insurance plans in this area (ZIP 97838)

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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: 4385541986View full group profile
NameSpecialtyState
Physician AssistantWA
Internal MedicineWA
-WA
-WA
Family PracticeWA
Mental Health CounselorWA
Family PracticeWA
Family PracticeWA
Mental Health CounselorWA
Internal MedicineWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CYNTHIA HODGE?
CYNTHIA HODGE — NPI 1477031912 — is the standard way to identify this listing.
Does CMS list CYNTHIA HODGE as active?
Yes — CYNTHIA HODGE is active in the NPI listing used on this page.
What taxonomy line describes CYNTHIA HODGE?
For research purposes, treat CYNTHIA HODGE as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CYNTHIA HODGE on a map?
Expect Hermiston, Oregon as a primary anchor for CYNTHIA HODGE unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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