Active NPI
Jessica Layne Bodenhamer, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3012474
- Practice address
- 800 Rose St
Lexington, KY 40536 - Phone
- (859) 323-5956
- Fax
- (859) 323-1080
- NPI assigned
- Jun 20, 2018
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 118309 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 3012474 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536
Mailing address
800 Rose St
Lexington, KY 40536-0293
Phone (859) 218-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802003340 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8426306754 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ephraim McDowell Health Resource IncUniversity of Kentucky
Practice addresses (Care Compare)
109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361
120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222
216 W Walnut St
Danville, KY 40422-1832
770 Rose St
Lexington, KY 40536-0297
Phone (859) 323-3368
Hospital & facility affiliations
- Ephraim McDowell Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118309 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc. | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients |
Locations
216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Interoperability endpoints
- jbodenhamer25364@ukhcdirect.org
Organizations & group practices 22
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.
-
- Optician
- Danville, KY
- NPI 1205499225
-
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1073131306
-
- Clinic Pharmacy
- Lexington, KY
- NPI 1073609731
-
- Pharmacy
- Lexington, KY
- NPI 1114305307
-
- Pharmacy
- Lexington, KY
- NPI 1174967269
-
- General Practice Dentistry
- Lexington, KY
- NPI 1194852582
-
- Diabetes Educator Registered Nurse
- Lexington, KY
- NPI 1215449178
-
- Community/Retail Pharmacy
- Lexington, KY
- NPI 1275291759
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
Hospital
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1841784063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-218-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40536",
"telephone_number": "859-323-5956",
"fax_number": "859-323-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODENHAMER",
"first_name": "JESSICA",
"middle_name": "LAYNE",
"name_prefix": "Mrs.",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "118309",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3012474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.