Jodi Nicole Bodenhamer, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NA Issued in AR

Practice address

622 Broadmoor Dr
Mountain Home, AR 72653-2903

Phone

(870) 508-1765

Fax

(870) 508-1679

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jodi Nicole Owens Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodi.bodenhamer@bhcawp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baxter County Regional Hospital, Inc

  dba Baxter Health Fairlamb Senior Clinic

  • Clinic/Center
  • Mountain Home, AR
  • NPI 1437423472
  Medicare reassignment NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health Pain Clinic

  • Interventional Pain Medicine Physician
  • Mountain Home, AR
  • NPI 1811859606
  NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Regional Medical Center

  • Psychiatric Hospital Unit
  • Mountain Home, AR
  • NPI 1972549038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1063162287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BROADMOOR DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532903",
            "telephone_number": "870-508-1765",
            "fax_number": "870-508-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BROADMOOR DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532903",
            "telephone_number": "870-508-1765",
            "fax_number": "870-508-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHAMER",
        "first_name": "JODI",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "OWENS",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Bloodworth, OT-R
• Wendy Blount, RN
• Bmnrc, Inc. (Hiram Shaddox Geriatric Center)
• Bob E Cogburn MD PA
• Bob Mathis DDS PA
• Asher G Bogdanove, PT
• Coleen Bohannon
• Paul Allen Bolt, OTR
• Amanda Nicole Bonham, L/COTA
• Allison Shipp Booth, M.D.

• Family Nurse Practitioner in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.