JILLIAN A HODGE NP NPI 1194254664

NPI Information

  • NPI: 1194254664
  • Provider Name: JILLIAN A HODGE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22361 OAK RIDGE DR
    SHELL KNOB, MO
    ZIP 65747
  • Phone: (417) 858-3731

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NPI Details

Jillian A Hodge, NP is a family nurse practitioner in Shell Knob, MO with 9 years of experience. Jillian A Hodge, NP NPI is 1194254664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22361 OAK RIDGE DR
SHELL KNOB, MO
ZIP 65747-822
Phone: (417) 858-3731

The NPI 1194254664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by immunoassay technique for influenza virus (HCPCS:87400)
  • Automated urinalysis test (HCPCS:81003)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2004036967MISSOURINo
2363LF0000XNurse PractitionerFamily2017021980MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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