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WILLIAM BODINE PA-C
NPI 1114332459
Physician Assistant - Medical in Lafayette, IN

Active since June 25, 2014PECOS Enrolled
1701 S CREASY LN, LAFAYETTE, IN 47905(765) 502-4000 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Bodine Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM BODINE PA-C (NPI 1114332459) is an individual medical provider in Lafayette, Indiana, licensed in Indiana (10001661A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114332459
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILLIAM BODINECredential: PA-C
Location Address1701 S CREASY LNLafayette, IN 47905-4972
Mailing Address1040 Sierra Dr, Ste 400Greenwood, IN 46143-7241 · (317) 865-8988 · Fax (317) 859-8590
Phone(765) 502-4000
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateJune 28, 2016
✔ NPI 1114332459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10001661A
1701 S CREASY LN, Lafayette, IN 47905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Bodine Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN SMEDEMA OTR/L
Occupational Therapist
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (000) 000-0000
AMBER SEAMAN
Physician Assistant
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 502-4000
JAHAN ALI KHAJEH
Hospitalist
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 502-4000
RACHAEL GUERIN PA-C
Physician Assistant
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (815) 575-4585
ASHLEY N SCHMITT RN
Registered Nurse
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 502-4000
RICHARD NONO ROSALES MD
Pathology (Anatomic Pathology & Clinical Pathology)
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (800) 654-7410
ANDREW ANTHONY ALAIMO DO
Emergency Medicine
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 502-4000
MRS. AMY RENEE TIMMONS RN
Registered Nurse (Obstetric, Inpatient)
1701 S CREASY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 502-4600

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 William Bodine's NPI number?

The NPI number for William Bodine is 1114332459. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is William Bodine located?

William Bodine practices at 1701 S Creasy Ln, Lafayette, IN 47905. The listed phone number is (765) 502-4000.

What is William Bodine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Bodine enrolled in Medicare?

Yes. William Bodine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Bodine was last updated on June 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.