NPIMap

Individual provider Active NPI

Kimberly R. Bodemann, APRN

  • Adult Health Clinical Nurse Specialist
  • Hot Springs, AR
National Provider Identifier
1720044142
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
S01064CNS Issued in AR
Practice address
1662 Higdon Ferry Rd
Suite 200
Hot Springs, AR 71913-6912
Phone
(501) 623-2781
Fax
(501) 623-1774
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 Clinical Nurse Specialist 364SA2200X S01064CNS AR Primary

Addresses

Primary practice location

1662 Higdon Ferry Rd
Suite 200
Hot Springs, AR 71913-6912

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 623-2781

Other identifiers 1

IdentifierTypeStateIssuer
183336758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000752 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 5092726885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians

Practice addresses (Care Compare)

4419 N Hwy 7
Suite 201
Hot Springs Village, AR 71909-9304
Phone (501) 922-2217

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S01064CNSARMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Aug 1, 2010 Accepting new patients
Hot Springs MRI Center Past Accepting new patients
Healthfirst Physicians of Arkansas, P. a. Past Accepting new patients
Healthfirst Physicians of Arkansas PA Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1662 Higdon Ferry Rd
Ste 100
Hot Springs National Park, AR 71913
Phone (501) 318-6199

1662 Higdon Ferry Rd
Ste 200
Hot Springs National Park, AR 71913
Phone (501) 623-2781

1662 Higdon Ferry Rd
Ste 230
Hot Springs National Park, AR 71913
Phone (501) 623-9581

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1636 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 520-2000

4419 N Highway 7
Ste 201
Hot Springs Village, AR 71909
Phone (501) 922-2217

4419 N Highway 7
Ste 200
Hot Springs Village, AR 71909
Phone (501) 922-2217

Interoperability endpoints

  • Direct secure messaging: kbodemann176288@directb.mercy.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1720044142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY RD",
            "address_2": "SUITE 200",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136912",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEMANN",
        "first_name": "KIMBERLY",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S01064CNS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183336758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.