KELLY DENISE HODGE (NP) – Acute Care Nurse Practitioner, NPI 1821526146

KELLY DENISE HODGE (NP) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP134276 (TX). The NPI Number for KELLY DENISE HODGE (NP) is 1821526146

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLY DENISE HODGE (NP)
NPI
1821526146
Phone
(903) 232-8186
Address
707 Hollybrook Dr
Enumeration Date
31 May 2017
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035101186
Graduation Year
2017 (9 years ago)
PAC ID
8123394798
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20171026000709
Address ID
TX757012036TY800XXSTXX403

Contacts

Secure Messaging
kelly.hodge.1@16432.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:9State licenses:2Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELLY DENISE HODGE (NP)

  • 707 Hollybrook Dr

    DCOL Express Care

    Longview, TX 756052410

    Phone: (903) 232-8186

    Fax: (903) 291-6099

    Type: Location

  • 619 S Fleishel Ave Ste 201

    Tyler, TX 757012004

    Phone: (903) 606-2992

    Type: Location

  • 707 E Marshall Ave

    Longview, TX 756015545

    Phone: (903) 315-5400

    Type: Location

  • 703 S Fleishel Ave Ste 4000

    Tyler, TX 757012015

    Phone: (903) 606-7000

    Type: Location

  • 103 W LOOP 281 STE 474

    LONGVIEW, TX 756054603

    Phone: (903) 871-0455

    Fax: (877) 541-7468

    Type: Location

  • PO BOX 19036

    BELFAST, ME 049154085

    Phone: (903) 381-7263

    Fax: (903) 381-7269

    Type: Mailing

  • 3515, Richmond Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 75503

    Phone: (903) 791-9355

    Fax: (903) 831-7258

    Type: Location

  • 2760 WALDRONS FERRY RD

    HALLSVILLE, TX 756507680

    Phone: (903) 238-6353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Abbott Laboratories ($154).

Total Amount

$377

General + Research + Ownership

Payments

9

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2017-10-26

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
I20171026000709INurse PractitionerTXTBD

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 minutes188133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6051$0
99213Established patient office or other outpatient visit, 20-29 minutes3939$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Hematology/Oncology, Internal MedicineTX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC

Reviews

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Frequently asked questions

How do payers reference KELLY DENISE HODGE (NP)?
For KELLY DENISE HODGE (NP), use NPI 1821526146 as the unique 10-digit identifier.
Would KELLY DENISE HODGE (NP) appear as active to a payer?
You can treat KELLY DENISE HODGE (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KELLY DENISE HODGE (NP)?
KELLY DENISE HODGE (NP) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY DENISE HODGE (NP)?
Travel planning: use Longview, Texas as the reference point for KELLY DENISE HODGE (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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