CINDI BODERMAN – Registered Nurse, NPI 1164968608

CINDI BODERMAN is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. 25808 (SC). The NPI Number for CINDI BODERMAN is 1164968608

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CINDI BODERMAN
NPI
1164968608
Phone
Not provided
Address
2775 SCHOENERSVILLE RD
Enumeration Date
9 January 2017
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123494227
Graduation Year
2017 (9 years ago)
PAC ID
4789960998
Group Practice PAC ID
2466891353
Professional Enrollment ID
I20220310002016
Address ID
SC299106072BL23XXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for CINDI BODERMAN

  • 2775 SCHOENERSVILLE RD

    BETHLEHEM, PA 180177307

    Phone:

    Type: Mailing

  • 23 PLANTATION PARK DR STE 101

    BLUFFTON, SC 299106072

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $2,436.

Total Amount is formed as General ($2,436) + Research ($0) + Ownership ($0) = $2,436.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($591).

Total Amount

$2,436

General + Research + Ownership

Payments

109

Total payment records

General Amount

$2,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220310002016INurse PractitionerSCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18017)

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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: 2466891353View full group profile
NameSpecialtyState
Physician AssistantGA
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA
Physician AssistantGA
R H E U M A T O L O G YGA
Internal Medicine, RheumatologySC
Nurse PractitionerGA
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA

Reviews

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Frequently asked questions

How do I look up CINDI BODERMAN by NPI?
Use NPI 1164968608 when you need to reference CINDI BODERMAN in forms, claims, or directories.
Is CINDI BODERMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CINDI BODERMAN?
The page reflects Registered Nurse for CINDI BODERMAN. Clinical services aligned with this taxonomy classification.
Where does public data place CINDI BODERMAN?
The snapshot lists Bethlehem, Pennsylvania for CINDI BODERMAN; download NPPES for the complete set.
What if Bethlehem, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.