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THERESA FREDERICK BODKER APRN
NPI 1629358866
Clinical Nurse Specialist in Lafayette, LA

Active since August 19, 2011PECOS Enrolled
73.36/100
CMS Quality Rating
1211 COOLIDGE BLVD, SUITE 100, LAFAYETTE, LA 70503(337) 289-8400(337) 289-8401 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Frederick Bodker Aprn NPPES

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

THERESA FREDERICK BODKER APRN (NPI 1629358866) is an individual clinical nurse specialist in Lafayette, Louisiana, licensed in Louisiana (AP01091) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629358866
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameTHERESA FREDERICK BODKERCredential: APRN
Location Address1211 COOLIDGE BLVD, SUITE 100Lafayette, LA 70503-2636
Mailing AddressPo Box 62600New Orleans, LA 70162-2600 · (337) 706-1506 · Fax (337) 981-9257
Phone(337) 289-8400
Fax(337) 289-8401
Sole ProprietorNo
Enumeration DateAugust 19, 2011
Last NPPES UpdateApril 18, 2012
✔ NPI 1629358866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in LA · AP01091
Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

1211 COOLIDGE BLVD, Lafayette, LA 70503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Frederick Bodker Aprn 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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services103 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services15 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.45
Promoting Interoperability75
Improvement Activities40
Cost41.42

Other Providers at the Same Location NPPES 20

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

DR. JAMES S GARCELON M.D.,
Surgery
1211 COOLIDGE BLVD, SUITE 304
LAFAYETTE, LA 70503
Lafayette Parish (337) 236-3030
LAFAYETTE HEALTH VENTURES. INC
Obstetrics & Gynecology (Gynecology)
1211 COOLIDGE BLVD, SUITE 404
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-8440
PADUMANE LAKSHMIPRASAD
Internal Medicine (Cardiovascular Disease)
1211 COOLIDGE BLVD, STE 203
LAFAYETTE, LA 70503
Lafayette Parish (337) 233-2535
LAFAYETTE HEALTH VENTURES, INC
Psychiatry & Neurology (Neurology)
1211 COOLIDGE BLVD, SUITE 401
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-8414
DR. FIROOZ JALILI MD
Pediatrics (Pediatric Gastroenterology)
1211 COOLIDGE BLVD, STE 203
LAFAYETTE, LA 70503
Lafayette Parish (337) 233-2535
DR. EDWARD PATRICK LYONS M.D.
Internal Medicine
1211 COOLIDGE BLVD, SUITE 301
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-8381
MR. JACQUE F NOEL III MD
Internal Medicine (Gastroenterology)
1211 COOLIDGE BLVD, SUITE 400
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-9779
MRS. STELLA BOUSTANY NOEL MD
Dermatology
1211 COOLIDGE BLVD, SUITE 400
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-9779

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 Theresa Bodker's NPI number?

The NPI number for Theresa Bodker is 1629358866. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Theresa Bodker located?

Theresa Bodker practices at 1211 Coolidge Blvd Suite 100, Lafayette, LA 70503. The listed phone number is (337) 289-8400.

What is Theresa Bodker's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Theresa Bodker enrolled in Medicare?

Yes. Theresa Bodker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Bodker was last updated on April 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.