Jenny L Bodnar, RN, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hudson, OH
NPI 1972054849 · NPPES record last updated Oct 17, 2016
Key facts
- NPI
- 1972054849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F06162511 (OH)
- Practice address
- 5398 Duffield Dr
Hudson, OH 44236-4159 - Phone
- (330) 980-6629
- NPI assigned
- Oct 17, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Primary Care Practices Inc
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
- Uh Cleveland Medical Center
- Akron General Medical Center
- University Hospitals Portage Medical Center
- University Hospitals Ahuja Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170518002592 | OH | Practitioner - Nurse Practitioner | 6305113556 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06162511 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Physician Group | Current |
Accepting new patients | |
| Hudson Family Practice, Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| Partners Physician Group | Current |
Accepting new patients | |
| Traveling Nurse Practitioner, LLC | Current |
Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients |
Locations
1 Akron General Ave
#G26
Akron, OH 44307
4125 Medina Rd
Ste 215
Akron, OH 44333
Phone (330) 665-8143
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847
55 N Chillicothe Rd
Ste 100
Aurora, OH 44202
Phone (330) 954-7210
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
5655 Hudson Dr
Ste 303
Hudson, OH 44236
Phone (330) 800-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06162511 | OH | Yes |
Addresses
Primary practice location
5398 Duffield Dr
Hudson, OH 44236-4159
Mailing address
5398 Duffield Dr
Hudson, OH 44236-4159
Phone (330) 980-6629
Other providers in Hudson, OH
- BFB Wellness, LLC
- Beth Ann Bigham
- Jean Binger
- Sarah C Bingham
- Shelley Bluett
- Marcia W Boote
- Maria Stadelman Bossard
- Crystal Monique Boyd
- Elaine Chung Boyd
- Justin Boyd
All providers in Hudson, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.