KELLY DENISE HODGE AGACNP
NPI 1821526146
Nurse Practitioner - Acute Care in Longview, TX
About Kelly Denise Hodge Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY DENISE HODGE AGACNP (NPI 1821526146) is an individual acute care provider in Longview, Texas, licensed in Texas (AP134276) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 4
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
Kelly Denise Hodge Agacnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Hodge reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Longview, TX 75605
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Longview, TX 75605
- Reassigned Medicare billing, Texas enrollment
- 114 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGVIEW, TX 75605
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 Kelly Hodge's NPI number?
The NPI number for Kelly Hodge is 1821526146. It was assigned to this individual provider in the NPPES registry on May 31, 2017.
Where is Kelly Hodge located?
Kelly Hodge practices at 103 W Loop 281 Ste 474, Longview, TX 75605. The listed phone number is (903) 871-0455.
What is Kelly Hodge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Hodge enrolled in Medicare?
Yes. Kelly 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 Kelly Hodge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hodge reassigns Medicare benefits to 4 organizations: Rajiv Vij MD PA (Longview, TX), Associated Clinicians Of East Texas (Longview, TX), Christus Trinity Clinic Texas (Tyler, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). 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 Kelly Hodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Hodge accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kelly 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 Kelly Hodge affiliated with any hospitals?
According to CMS data, Kelly Hodge is affiliated with Christus Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Hodge was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Kelly Denise Hodge, AGACNP · NPI 1821526146
Acute Care physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since May 31, 2017.
## Identity
- **NPI:** 1821526146 (Entity type: Individual)
- **Enumerated:** May 31, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AP134276 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 W LOOP 281 STE 474, Longview, TX 75605-4603
- **Phone:** (903) 871-0455 · **Fax:** (877) 541-7468
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Rajiv Vij MD PA (NPI 1306681077, Longview, TX); Associated Clinicians Of East Texas (NPI 1932640349, Longview, TX); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821526146) · Data from the CMS NPPES public registry.