MRS. KAYLA BREE HODGE AGACNP-BC
NPI 1710646054
Nurse Practitioner - Acute Care in Olive Branch, MS

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment
4240 BETHEL RD STE 201, OLIVE BRANCH, MS 38654(901) 763-0200(901) 751-4002 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Dec 14, 2021 (2 updates tracked since 2021).

About Mrs. Kayla Bree Hodge Agacnp-bc NPPES

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

MRS. KAYLA BREE HODGE AGACNP-BC (NPI 1710646054) is an individual acute care provider in Olive Branch, Mississippi, licensed in Mississippi (905541) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710646054
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KAYLA BREE HODGECredential: AGACNP-BC
Location Address4240 BETHEL RD STE 201Olive Branch, MS 38654-8737
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Fax(901) 751-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 14, 2021
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1710646054 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
Licenses✔ Licensed in MS · 905541✔ Licensed in TN · 30554
4240 BETHEL RD STE 201, Olive Branch, MS 38654

Secondary Practice Locations 3

Location 14250 Bethel RdOlive Branch, MS 38654-8737 · Phone (901) 516-1290 · Fax (901) 516-1220
Location 27460 Wolf River BlvdGermantown, TN 38138-1760 · Phone (901) 763-0200 · Fax (901) 761-4002
Location 37691 Poplar AveGermantown, TN 38138-3904 · Phone (901) 516-1290 · Fax (901) 516-1220

Accepted 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

Mrs. Kayla Bree Hodge Agacnp-bc 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 ID749672798
PECOS Enrollment IDI20220125000199, I20221102001040
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

3

Medicare enrollment records show Kayla Hodge reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6799 GREAT OAKS RD
Memphis, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 166 clinicians in this Medicare group
Cardiovascular Disease
7460 WOLF RIVER BLVD
Germantown, TN 38138
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 45 clinicians in this Medicare group
Internal Medicine
1265 UNION AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 42 clinicians in this Medicare group

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$184.46 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 3

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

Internal Medicine (Interventional Cardiology)
4240 BETHEL RD STE 201
OLIVE BRANCH, MS 38654
Nurse Practitioner (Family)
4240 BETHEL RD STE 201
OLIVE BRANCH, MS 38654
Nurse Practitioner (Family)
4240 BETHEL RD STE 201
OLIVE BRANCH, MS 38654

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 Kayla Hodge's NPI number?

The NPI number for Kayla Hodge is 1710646054. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Kayla Hodge located?

Kayla Hodge practices at 4240 Bethel Rd Ste 201, Olive Branch, MS 38654. The listed phone number is (901) 763-0200.

What is Kayla Hodge's specialty?

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

Is Kayla Hodge enrolled in Medicare?

Yes. Kayla Hodge 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 Kayla Hodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Hodge reassigns Medicare benefits to 3 organizations: Consolidated Medical Practices Of Memphis,pllc (Memphis, TN), Specialty Physician Group LLC (Germantown, TN) and Methodist Inpatient Physicians LLC (Memphis, TN). 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 Kayla Hodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Hodge accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kayla Hodge 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.

Is Kayla Hodge affiliated with any hospitals?

According to CMS data, Kayla Hodge is affiliated with Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Hodge was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.