Individual provider Active NPI

Rachel Lynn Bodemer, NP

  • Family Medicine Physician
  • North Easton, MA
National Provider Identifier
1215599444
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F06192822 Issued in MA
Practice address
3 Washington St Ste 220
North Easton, MA 02356-1034
Phone
(508) 230-0155
Fax
(508) 230-0145
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F06192822 MA Primary

Addresses

Primary practice location

3 Washington St Ste 220
North Easton, MA 02356-1034

Mailing address

3 Washington St Ste 220
North Easton, MA 02356-1034
Phone (508) 230-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210324001043 MA Practitioner - Nurse Practitioner 9335551902 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06192822MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Medicine Family Medicine CurrentSince Dec 22, 2020 Accepting new patients

Locations

3 Washington St
Ste 220
North Easton, MA 02356
Phone (508) 230-0155

Interoperability endpoints

  • Direct secure messaging: rachel.bodemer.1@2020.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1215599444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON ST STE 220",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561034",
            "telephone_number": "508-230-0155",
            "fax_number": "508-230-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON ST STE 220",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561034",
            "telephone_number": "508-230-0155",
            "fax_number": "508-230-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEMER",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "F06192822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.