YANNIE BODDEN APRN PLLC
NPI 1134042054
Nurse Practitioner - Family in Las Vegas, NV
About Yannie Bodden Aprn Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YANNIE BODDEN APRN PLLC (NPI 1134042054) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since July 2026. The organization lists Al Berry, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yannie Bodden Aprn Pllc 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 Yannie Bodden Aprn PLLC, 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 Yannie Bodden Aprn PLLC's NPI number?
The NPI number for Yannie Bodden Aprn PLLC is 1134042054. It was assigned to this organization in the NPPES registry on July 30, 2026.
Where is Yannie Bodden Aprn PLLC located?
Yannie Bodden Aprn PLLC is located at 2080 E Flamingo Rd Ste 312, Las Vegas, NV 89119. The listed phone number is (469) 915-4211.
What is Yannie Bodden Aprn PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yannie Bodden Aprn PLLC enrolled in Medicare?
Yes. Yannie Bodden Aprn PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yannie Bodden Aprn PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Yannie Bodden Aprn PLLC. 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 Yannie Bodden Aprn PLLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Yannie Bodden Aprn Pllc · NPI 1134042054
Family organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since July 30, 2026.
## Identity
- **NPI:** 1134042054 (Entity type: Organization)
- **Enumerated:** July 30, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Al Berry, MANAGER
## Practice location
- **Address:** 2080 E FLAMINGO RD STE 312, Las Vegas, NV 89119-5181
- **Phone:** (469) 915-4211 · **Fax:** (702) 956-5955
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134042054) · Data from the CMS NPPES public registry.