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Mary Hyacinth Bodenheimer, NURSE PRACTITIONER-C

NPI 1154804615ActiveIndividual· Nurse Practitioner, Adult Health· Bushnell, FL

Nurse Practitioner, Adult Health (NURSE PRACTITIONER-C) with Legacy Healthcare Services Inc and 1 other group, practicing in Bushnell, Florida. Their prescriptions cost Medicare Part D more than their services did: $485,479 for 8,457 claims, against $75,265 paid for services in 2024. Kestra Medical Technology Services, Inc. reported $28.25 in payments in 2024, mostly food and beverage.

Overview

NPI1154804615
StatusActive
Entity typeIndividual
CredentialNURSE PRACTITIONER-C
Sole proprietorNo
NPI issuedSep 11, 2018
Last updated in NPPESMay 28, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Adult Health Primary363LA2200XAPRN1782662FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients240
Services billed1,682 across 13 procedure codes
Paid by Medicare$75,265

Part D prescriptions in 2024

Prescriptions (claims)8,457 · 8,760 30-day fills
Patients266
Total drug cost$485,479
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyNurse Practitioner

Medical groups

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$28.25 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Kestra Medical Technology Services, Inc.$28.251

What the 2024 payments were for

  • Food and Beverage$28.25 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other adult health nurse practitioners in Bushnell

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