Individual provider Active NPI

Yannie H Bodden, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285334722
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
865712 Issued in NV
Practice address
1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone
(702) 383-2565
NPI assigned
Mar 3, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 82255 NV
Family Nurse Practitioner 363LF0000X 865712 NV Primary

Addresses

Primary practice location

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150

Mailing address

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 383-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230601002130 NV Practitioner - Nurse Practitioner 5991162240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yang Medical Services PLLCGroup PAC ID 7315275773, 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82255NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC Family Medicine CurrentSince Jul 20, 2025 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1285334722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-383-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-383-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "YANNIE",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "82255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "865712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.