Individual provider Active NPI

Yumee Chendra Bodenhamer, APRN, CNP

  • Adult Health Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1063833309
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
89289 Issued in OK
Practice address
3209 Libby LN
Edmond, OK 73012-9737
Phone
(405) 473-0695
NPI assigned
Jan 3, 2014
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 89289 OK Primary

Addresses

Primary practice location

3209 Libby LN
Edmond, OK 73012-9737

Mailing address

3209 Libby LN
Edmond, OK 73012-9737
Phone (405) 473-0695

Other names 1

  • Yumee Mi Young Cho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20140226001447 OK Practitioner - Nurse Practitioner 0345470910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Hospital Medicine Associates PCGroup PAC ID 4880841618, 17 clinicians

Practice addresses (Care Compare)

1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9337

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
89289OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC CurrentSince Mar 7, 2016 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Aug 15, 2016 Accepting new patients
Clinton Hospital Authority CurrentSince Jun 11, 2024 Accepting new patients
Clinton Hospital Authority CurrentSince Jun 11, 2024 Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1063833309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 LIBBY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129737",
            "telephone_number": "405-473-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 LIBBY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129737",
            "telephone_number": "405-473-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHAMER",
        "first_name": "YUMEE",
        "middle_name": "CHENDRA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "89289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUMEE",
            "last_name": "MI YOUNG CHO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.