Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396199048 Individual Practitioner Female Practitioner

Dr. Jessica Lynn Bodea , MD

Pediatrics • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Bodea, MD is a registered healthcare professional specializing in Pediatrics in Mesa, AZ. Practice services are available at 4824 E BASELINE RD STE 125 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4824 E Baseline Rd Ste 125

Mesa, AZ 852064679

Telephone 4808394848
Fax 4808338310
Associated Practice Facility / Clinic
🏢 Pediatric Medical Associates Facility NPI 1972768968

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 70030

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TN 59850

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Hematology-Oncology

NUCC Taxonomy Code: 2080P0207X

State License AZ 70030

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
142382 (AZ)

Secondary Practice Locations

1919 E Thomas Rd

Phoenix, AZ 850167710

Phone: 6029330920

262 Danny Thomas Pl

Memphis, TN 381053678

Phone: 8882264343

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Hayley Comrie , CPNP

Nurse Practitioner

NPI 1184392896

Certified Pediatric Nurse Practitioner

Jennifer Cleary , NP

Nurse Practitioner

NPI 1225251051

Nurse Practitioner

NPI 1396487203

Doctor of Medicine (M.D.)

NPI 1427018118

Doctor of Medicine (M.D.)

Rachael Greensides , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497144786

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1659335552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 20, 2025

Registered at 4824 E BASELINE RD STE 125, MESA, AZ 852064679 (Tel: 4808394848)

📍
Updated Practice Location September 12, 2023

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330920)

📍
Updated Business Mailing Address September 12, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029333124)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Pediatrics (License #59850 in TN)

📍
Updated Practice Location December 18, 2020

Registered at 262 DANNY THOMAS PL, MEMPHIS, TN 381053678 (Tel: 8882264343)

📍
Updated Business Mailing Address December 18, 2020

Registered at 262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 381053678 (Tel: 6025462923)

NPI Profile Active May 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2016

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6025462923)

📍
Updated Business Mailing Address May 08, 2016

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6025462923)

👤
Provider Name / Credentials Updated May 08, 2016

Recorded as JESSICA BODEA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396199048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2016
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029333124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.