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

Katlyn Deanne Hodak, CNM

Individual provider Advanced Practice Midwife · NPI 1861043515

Katlyn Deanne Hodak, CNM is a Certified Nurse Midwife (CNM) in Jamestown, New York. Qualified in 2019, 7 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

400 Foote Ave
Jamestown, NY 14701-6800
Phone: (716) 484-1914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 Foote Ave, Jamestown, NY 14701-7077 — (716) 664-8221

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 001959 (NY)

Record details

NPI number1861043515
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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