MS. JOHNNA L BODENSTAB (ARNP) – Family Nurse Practitioner, NPI 1619968070
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MS. JOHNNA L BODENSTAB (ARNP)
Kings Highway, Stewart Heights East, Independence, Jackson County, Missouri, 64055, United States
SUITE 200
INDEPENDENCE, MO 640561823
Phone: (816) 257-7787
Fax: (816) 257-6948
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 81 Open Payments records for all available years, with a total value of $1,691.
Total Amount is formed as General ($1,691) + Research ($0) + Ownership ($0) = $1,691.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($380).
Total Amount
$1,691
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-10
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 |
|---|---|---|---|---|
| I20040210001125 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 6,600 | 13 | $0 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 3,020 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 121 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 119 | 73 | $0 |
Insurance plans in this area (ZIP 64056)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| Gastroenterology, Internal Medicine | MO | |
| - | KS | |
| Nurse Practitioner | MO | |
| Gastroenterology, Internal Medicine | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Internal Medicine, Gastroenterology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
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