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

MS. Lea-Ana Rae Hodges, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1831632165

MS. Lea-Ana Rae Hodges, AGNP-BC is a Nurse Practitioner in St. Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Impact Physician Group Missouri LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

10345 Watson Rd
St. Louis, MO 63127
Phone: (314) 384-3584
Fax: (314) 965-6067
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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 2016041030 (MO)

Record details

NPI number1831632165
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedNovember 17, 2016
Last updated in NPPESDecember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Impact Physician Group Missouri Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St. Louis