MRS. JENNIFER P BODENSTEINER (MS CCCSLP) – Speech-Language Pathologist, NPI 1629038070

MRS. JENNIFER P BODENSTEINER (MS CCCSLP) is a healthcare provider. based in Polk city, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS CCCSLP. They hold a License No. 01277 (IA). The NPI Number for MRS. JENNIFER P BODENSTEINER (MS CCCSLP) is 1629038070

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER P BODENSTEINER (MS CCCSLP)
NPI
1629038070
Phone
(515) 963-9422
Address
4101 NW 94TH AVE
Enumeration Date
27 March 2006
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5156354050
Graduation Year
1996 (30 years ago)
PAC ID
6406234020
Group Practice PAC ID
4981034121
Professional Enrollment ID
I20220609001195
Address ID
IA503102647DE3419XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for MRS. JENNIFER P BODENSTEINER (MS CCCSLP)

  • 4101 NW 94TH AVE

    POLK CITY, IA 50226

    Phone: (515) 963-9422

    Type: Mailing

  • 301 N ANKENY BLVD SUITE 200

    ANKENY PHYSICAL SPORTS THERAPY

    ANKENY, IA 50021

    Phone: (515) 965-1422

    Fax: (515) 965-1449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220609001195IQualified Speech Language PathologistIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder60524$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression2319$0
View full utilization report →

Insurance plans in this area (ZIP 50226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981034121View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Does MRS. JENNIFER P BODENSTEINER (MS CCCSLP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JENNIFER P BODENSTEINER (MS CCCSLP) uses 1629038070.
Can I rely on MRS. JENNIFER P BODENSTEINER (MS CCCSLP) being an active provider?
As of the registry snapshot, MRS. JENNIFER P BODENSTEINER (MS CCCSLP) is marked active.
What healthcare role does MRS. JENNIFER P BODENSTEINER (MS CCCSLP) hold?
Scheduling teams often label MRS. JENNIFER P BODENSTEINER (MS CCCSLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JENNIFER P BODENSTEINER (MS CCCSLP) on a map?
Expect Polk City, Iowa as a primary anchor for MRS. JENNIFER P BODENSTEINER (MS CCCSLP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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