Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal M. Hodge

Individual provider Adult Health Nurse Practitioner · NPI 1508511692

Crystal M. Hodge is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2021, 5 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
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Practice location Address checks out

4850 Smith Rd Ste 250
Cincinnati, OH 45212-2733
Phone: (513) 699-9090
Fax: (513) 258-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.0030756 (OH)

Record details

NPI number1508511692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address6094 Dawson Dr, Liberty Twp, OH 45044-1254

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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