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SHARON HODGES APRN
NPI 1366811796
Nurse Practitioner - Family in Providence, KY

Active since September 16, 2015PECOS EnrolledAccepts Medicare Assignment
215 E MAIN ST, PROVIDENCE, KY 42450(270) 667-7017(270) 667-5956 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Jun 6, 2024, Feb 16, 2022 and 4 more (7 updates tracked since 2016).

About Sharon Hodges Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON HODGES APRN (NPI 1366811796) is an individual family provider in Providence, Kentucky, licensed in Kentucky (3009829) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366811796
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHARON HODGESCredential: APRN
Location Address215 E MAIN STProvidence, KY 42450-1261
Mailing Address215 E Main StProvidence, KY 42450-1261 · (270) 667-7017 · Fax (270) 667-5956
Phone(270) 667-7017
Fax(270) 667-5956
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2015
Last NPPES UpdateAugust 29, 20247 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1366811796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3009829
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 3009829 (KY)
215 E MAIN ST, Providence, KY 42450
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100384000KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sharon Hodges Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971812199
PECOS Enrollment IDI20151028002415, I20180126001449
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sharon Hodges reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Care Affiliates, Inc.
0.3 mi
Federally Qualified Health Center (FQHC)
215 E MAIN ST
Providence, KY 42450
  • Reassigned Medicare billing, Kentucky enrollment
  • 42 clinicians in this Medicare group
NPI 1558692558 (270) 828-5784
Deaconess Clinic, Inc
10 mi
Family Medicine
1335 US HIGHWAY 41A S
Dixon, KY 42409
  • Reassigned Medicare billing, Kentucky enrollment
  • 174 clinicians in this Medicare group
NPI 1184243370 (270) 639-9101
Crittenden Community Hospital LLC
16 mi
Clinic/Center
417 N MAIN ST
Sturgis, KY 42459
  • Reassigned Medicare billing, Kentucky enrollment
  • 28 clinicians in this Medicare group
NPI 1013727882 (270) 374-6400
Marshall County Hospital District
50 mi
Family Medicine
619 OLD SYMSONIA RD
Benton, KY 42025
  • Reassigned Medicare billing, Kentucky enrollment
  • 23 clinicians in this Medicare group
NPI 1689778250 (270) 527-2411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$108.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY ANN JACKSON ARNP
Nurse Practitioner (Women's Health)
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
MRS. LORI MICHELLE CONGER RD, LD
Dietitian, Registered
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
JANE SMITH RPH
Pharmacist (Ambulatory Care)
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
BAPTIST HEALTH MADISONVILLE INC
Family Medicine
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
MRS. JENNIFER J COLLINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
WINONA F LAMBDIN RN
Nurse Practitioner
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
KENNETH W CLOERN MD
Family Medicine
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017
TRISTAN K LINEBERRY MD
Family Medicine
215 E MAIN ST
PROVIDENCE, KY 42450
Webster County (270) 667-7017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon Hodges's NPI number?

The NPI number for Sharon Hodges is 1366811796. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Sharon Hodges located?

Sharon Hodges practices at 215 E Main St, Providence, KY 42450. The listed phone number is (270) 667-7017.

What is Sharon Hodges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sharon Hodges enrolled in Medicare?

Yes. Sharon Hodges is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sharon Hodges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Hodges reassigns Medicare benefits to 4 organizations: Regional Health Care Affiliates, Inc. (Providence, KY), Deaconess Clinic, Inc (Dixon, KY), Crittenden Community Hospital LLC (Sturgis, KY) and Marshall County Hospital District (Benton, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharon Hodges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Hodges accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sharon Hodges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharon Hodges was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.