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

Q: What is Mary Bodenheimer's NPI number?

The NPI number for Mary Bodenheimer is 1154804615. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Mary Bodenheimer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bodenheimer was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

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: October 18, 2026.

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

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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

Phone(352) 793-2441

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Bodenheimer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lowell F. Clark MD PA

Same address

Internal Medicine

212 S FLORIDA ST
Bushnell, FL 33513

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1629278882 (352) 787-1600

Primary Care Providers Inc

35 mi

Family Medicine

635 SE 17TH ST
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
25 clinicians in this Medicare group

NPI 1083989438 (352) 237-4877

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 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 18

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

SHARION DARLENE PRESSLEY NP

Emergency Medicine