JESSICA M HODGE AGACNP-BC
NPI 1700776770
Nurse Practitioner - Acute Care in Irvine, CA

Q: What is Jessica Hodge's NPI number?

The NPI number for Jessica Hodge is 1700776770. It was assigned to this individual provider in the NPPES registry on July 9, 2025. The provider is also known as Jessica M Diamond.

Q: What is Jessica Hodge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Hodge was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 09, 2025PECOS Enrolled

16200 SAND CANYON AVE, IRVINE, CA 92618(949) 414-4168 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jessica M Hodge Agacnp-bc NPPES

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

JESSICA M HODGE AGACNP-BC (NPI 1700776770) is an individual acute care provider in Irvine, California, licensed in California (95033267) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700776770

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJESSICA M HODGECredential: AGACNP-BC

Location Address16200 SAND CANYON AVEIrvine, CA 92618-3714

Mailing Address16200 Sand Canyon AveIrvine, CA 92618-3714 · (949) 414-4168

Phone(949) 414-4168

Sole ProprietorNo

Enumeration DateJuly 9, 2025

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1700776770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95033267

16200 SAND CANYON AVE, Irvine, CA 92618

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Other Names 1

Former Name (1)Jessica M Diamond

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica M Hodge Agacnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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.

VINH TONTHAT

Emergency Medicine