JODI NICOLE BODENHAMER (APRN) – Family Nurse Practitioner, NPI 1063162287
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for JODI NICOLE BODENHAMER (APRN)
622 BROADMOOR DR
MOUNTAIN HOME, AR 726532903
Phone: (870) 508-1765
Fax: (870) 508-1679
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,146.
Total Amount is formed as General ($1,146) + Research ($0) + Ownership ($0) = $1,146.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($676).
Total Amount
$1,146
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $676 |
| Mannkind Corporation | $167 |
| Dexcom, Inc. | $98 |
| Averitas Pharma Inc. | $73 |
| Insulet Corporation | $66 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220604000363 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 58 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 61 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 72653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MO | |
| Family Practice, Emergency Medicine, Emergency Medicine | TX | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine, Peripheral Vascular Disease | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Family Practice | MO |
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