BODHI INFUSION CENTER, LLC
NPI 1104698349
Clinic/Center - Infusion Therapy in Boulder, CO
About Bodhi Infusion Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODHI INFUSION CENTER, LLC (NPI 1104698349) is a healthcare organization registered as an infusion therapy in Boulder, Colorado and active in the NPI registry since October 2023. The organization lists Candace Glazier, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bodhi Infusion Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bodhi Infusion Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bodhi Infusion Center, LLC's NPI number?
The NPI number for Bodhi Infusion Center, LLC is 1104698349. It was assigned to this organization in the NPPES registry on October 23, 2023.
Where is Bodhi Infusion Center, LLC located?
Bodhi Infusion Center, LLC is located at 2760 29th St Ste 1C, Boulder, CO 80301. The listed phone number is (707) 256-9085.
What is Bodhi Infusion Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
Is Bodhi Infusion Center, LLC enrolled in Medicare?
Yes. Bodhi Infusion Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bodhi Infusion Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Bodhi Infusion Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bodhi Infusion Center, LLC was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bodhi Infusion Center, Llc · NPI 1104698349
Infusion Therapy organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since October 23, 2023.
## Identity
- **NPI:** 1104698349 (Entity type: Organization)
- **Enumerated:** October 23, 2023
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Organization subpart:** No
- **Authorized official:** Candace Glazier, OWNER
## Practice location
- **Address:** 2760 29TH ST STE 1C, Boulder, CO 80301-1221
- **Phone:** (707) 256-9085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104698349) · Data from the CMS NPPES public registry.