JACQUELINE ANN BODE APN
NPI 1245572213
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL
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
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Ann Bode Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Jacqueline Bode reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60642
- Reassigned Medicare billing, Illinois enrollment
- 18 clinicians in this Medicare group
Wood River, IL 62095
- Reassigned Medicare billing, Illinois enrollment
- 40 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Belleville, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 53 clinicians in this Medicare group
Waterloo, IL 62298
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Jacqueline Bode's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Bode reassigns Medicare benefits to 5 organizations: Thriveworks Telepsychiatry - Illinois (Chicago, IL), Wood River Urgent Care And Walk In Clinic Inc (Wood River, IL), Granite City Urgent Care Walk-In Clinic (Granite City, IL), Belleville Urgent Care Walk-In Clinic (Belleville, IL) and Waterloo Urgent Care Walk In Clinic Company (Waterloo, IL). Each 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 Jacqueline Bode's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Bode accept?
Health plans from Medica list Jacqueline Bode as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Bode was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacqueline Ann Bode, APN · NPI 1245572213
Psychiatric/Mental Health physician in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since March 18, 2013.
## Identity
- **NPI:** 1245572213 (Entity type: Individual)
- **Enumerated:** March 18, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 277.002017 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 W PARK AVE STE 103, Champaign, IL 61820-7888
- **Phone:** (217) 284-6236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Thriveworks Telepsychiatry - Illinois (NPI 1154099620, Chicago, IL); Wood River Urgent Care And Walk In Clinic Inc (NPI 1427717438, Wood River, IL); Granite City Urgent Care Walk-In Clinic (NPI 1659861953, Granite City, IL); Belleville Urgent Care Walk-In Clinic (NPI 1225694946, Belleville, IL); Waterloo Urgent Care Walk In Clinic Company (NPI 1508471418, Waterloo, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245572213) · Data from the CMS NPPES public registry.