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JACQUELINE ANN BODE APN
NPI 1245572213
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL

Active since March 18, 2013PECOS Enrolled
205 W PARK AVE STE 103, CHAMPAIGN, IL 61820(217) 284-6236 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2023, Mar 10, 2023, Mar 9, 2018 (3 updates tracked since 2018).

About Jacqueline Ann Bode Apn NPPES

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

JACQUELINE ANN BODE APN (NPI 1245572213) is an individual psychiatric/mental health provider in Champaign, Illinois, licensed in Illinois (277.002017) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245572213
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE ANN BODECredential: APN
Location Address205 W PARK AVE STE 103Champaign, IL 61820-7888
Mailing Address177 Jessica DrSaint Jacob, IL 62281-1247 · (618) 444-5491 · Fax (618) 551-3944
Phone(217) 284-6236
Sole ProprietorNo
Enumeration DateMarch 18, 2013
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1245572213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277.002017
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277.002017 (IL)
205 W PARK AVE STE 103, Champaign, IL 61820
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13165 McKelvey Rd Ste 205Bridgeton, MO 63044-2550 · Phone (314) 282-3224
Location 26698 Keaton Corporate PkwyO Fallon, MO 63368-8724 · Phone (636) 614-1638
Location 315421 Clayton RdBallwin, MO 63011-3163 · Phone (636) 552-4772

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Ann Bode Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 4

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

DEVIN LYONS
Counselor (Professional)
205 W PARK AVE STE 103
CHAMPAIGN, IL 61820
Champaign County (855) 284-7483
LYNN NORINE WILEY
Social Worker (Clinical)
205 W PARK AVE STE 103
CHAMPAIGN, IL 61820
Champaign County (855) 284-7483
KELLI E DILLON-LEDUC MSW
Social Worker (Clinical)
205 W PARK AVE STE 103
CHAMPAIGN, IL 61820
Champaign County (217) 850-1133
KATRINA LOUISE PAKONEN-HUEBER
Psychologist (Clinical)
205 W PARK AVE STE 103
CHAMPAIGN, IL 61820
Champaign County (217) 850-1133

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 Jacqueline Bode's NPI number?

The NPI number for Jacqueline Bode is 1245572213. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Jacqueline Bode located?

Jacqueline Bode practices at 205 W Park Ave Ste 103, Champaign, IL 61820. The listed phone number is (217) 284-6236.

What is Jacqueline Bode's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Bode enrolled in Medicare?

Yes. Jacqueline Bode is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Bode was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.