MARY HYACINTH BODENHEIMER NURSE PRACTITIONER-C
NPI 1154804615
Nurse Practitioner - Adult Health in Bushnell, FL

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
212 S FLORIDA ST, BUSHNELL, FL 33513(352) 793-2441(352) 793-3282 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2019, Sep 11, 2018 (2 updates tracked since 2018).

About Mary Hyacinth Bodenheimer Nurse Practitioner-c NPPES

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

MARY HYACINTH BODENHEIMER NURSE PRACTITIONER-C (NPI 1154804615) is an individual adult health provider in Bushnell, Florida, licensed in Florida (APRN1782662) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154804615
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY HYACINTH BODENHEIMERCredential: NURSE PRACTITIONER-C
Location Address212 S FLORIDA STBushnell, FL 33513-6703
Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441 · Fax (352) 793-3282
Fax(352) 793-3282
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
NPI 1154804615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN1782662
212 S FLORIDA ST, Bushnell, FL 33513

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Hyacinth Bodenheimer Nurse Practitioner-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395078364
PECOS Enrollment IDI20190605003061
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
1,144 services214 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
293 services131 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
79 services52 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
57 services47 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
53 services53 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
42 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims19 services$15.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Internal Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Internal Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Clinic/Center (Rural Health)
212 S FLORIDA ST
BUSHNELL, FL 33513
Nurse Practitioner (Adult Health)
212 S FLORIDA ST
BUSHNELL, FL 33513
Internal Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Emergency Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Nurse Practitioner
212 S FLORIDA ST
BUSHNELL, FL 33513
Nurse Practitioner (Adult Health)
212 S FLORIDA ST
BUSHNELL, FL 33513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154804615, enumerated as an "individual" on September 11, 2018.

The provider is located at 212 S FLORIDA ST BUSHNELL, FL 33513 and the phone number is (352) 793-2441.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.