Active NPI
Jacquelyne Anne Bodden, MSN RN-C WHNP
- Women's Health Nurse Practitioner
- Platteville, WI
National Provider Identifier
1841299948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1476-033
- Practice address
- 1010 Cadillac Dr
Platteville, WI 53818-3918 - Phone
- (608) 348-7275
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1476 | WI | |
| Women's Health Nurse Practitioner | 363LW0102X | 1476-033 | WI | Primary |
Addresses
Primary practice location
1010 Cadillac Dr
Platteville, WI 53818-3918
Mailing address
1010 Cadillac Dr
Platteville, WI 53818-3918
Phone (608) 348-7275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43973600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1476 | WI | MD | Internal Medicine Physician |
| 1476-033 | WI | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Network Inc. F/K/a Family Planning Health Services Inc. | Past | Accepting new patients |
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.
-
dba Healthfirst Network Inc.
- Non-Surgical Family Planning Clinic/Center
- Wausau, WI
- NPI 1538152491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1841299948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CADILLAC DR",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538183918",
"telephone_number": "608-348-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CADILLAC DR",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538183918",
"telephone_number": "608-348-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDEN",
"first_name": "JACQUELYNE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSN RN-C WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WI",
"license": "1476",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WI",
"license": "1476-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43973600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.