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DONNA ANN HODGENS N.P.
NPI 1407855380
Nurse Practitioner - Primary Care in West Nyack, NY

Active since July 21, 2005PECOS Enrolled
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994(845) 353-5600(845) 353-3474 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Oct 4, 2018 (2 updates tracked since 2018).

About Donna Ann Hodgens N.p. NPPES

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

DONNA ANN HODGENS N.P. (NPI 1407855380) is an individual primary care provider in West Nyack, New York, licensed in New Jersey (26NR08692200) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407855380
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDONNA ANN HODGENSCredential: N.P.
Location Address2 CROSFIELD AVE, SUITE 318West Nyack, NY 10994-2226
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877
Phone(845) 353-5600
Fax(845) 353-3474
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1407855380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NR08692200
2 CROSFIELD AVE, West Nyack, NY 10994
Open in Google Maps ↗

Other Identifiers 1

Medicaid02645045NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Ann Hodgens N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Donna Hodgens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Primary Care PC
53 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Atlanticare Physician Group, PA
116 mi
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1003820622 (609) 748-2100

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10994 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%67 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%127 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%122 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
79%71 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%82 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ATISH JAISWAL MD
Family Medicine
2 CROSFIELD AVE, SUITE 318
WEST NYACK, NY 10994
Rockland County (419) 824-1100
JON SCOTT SEPINSKI P.A.
Physician Assistant (Surgical)
2 CROSFIELD AVE, SUITE 422
WEST NYACK, NY 10994
Rockland County (845) 358-1000
PEDIATRIC CARDIOLOGY OF ROCKLAND, PLLC
Pediatrics (Pediatric Cardiology)
2 CROSFIELD AVE
WEST NYACK, NY 10994
Rockland County (845) 348-9400
DEBORAH A SHAPIRO MD
Internal Medicine (Pulmonary Disease)
2 CROSFIELD AVE, STE 318
WEST NYACK, NY 10994
Rockland County (845) 353-5600
MICHELE MULDOON NP-C
Nurse Practitioner (Acute Care)
2 CROSFIELD AVE, SUITE 318
WEST NYACK, NY 10994
Rockland County (845) 353-5600
PATRICK JOSEPH MURRAY MD
Orthopaedic Surgery
2 CROSFIELD AVE, SUITE 422
WEST NYACK, NY 10994
Rockland County (845) 358-1000
YABLON,SHAPIRO,WOLF,CURRERI & KOZIN
Internal Medicine (Nephrology)
2 CROSFIELD AVE, SUITE 312
WEST NYACK, NY 10994
Rockland County (845) 358-2400
KAMINI SHREEDHAR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 CROSFIELD AVE, SUITE 204
WEST NYACK, NY 10994
Rockland County (845) 358-6266

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 Donna Hodgens's NPI number?

The NPI number for Donna Hodgens is 1407855380. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Donna Hodgens located?

Donna Hodgens practices at 2 Crosfield Ave Suite 318, West Nyack, NY 10994. The listed phone number is (845) 353-5600.

What is Donna Hodgens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Donna Hodgens enrolled in Medicare?

Yes. Donna Hodgens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donna Hodgens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Hodgens reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). 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 Donna Hodgens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Hodgens accept?

Health plans from Oscar Health list Donna Hodgens 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 Donna Hodgens was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.