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Active NPI 1487925194 Individual Practitioner Female Practitioner

Jayne Bodenbach , APRN

Nurse Practitioner • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jayne Bodenbach, APRN is a certified Nurse Practitioner practicing in Edgewood, KY. With approximately 15 years of clinical experience since completing medical education in 2011, Jayne Bodenbach delivers high-quality medical care to the local community at 711 MEDICAL VILLAGE DR.

Jayne Bodenbach maintains professional affiliations with St Elizabeth Medical Center, Inc, Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

711 Medical Village Dr

Edgewood, KY 410173439

Telephone 8593313353
Fax 8593313326
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +6.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bodenbach (15 Years) 15 Yrs
Edgewood Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
69 62 $213.00 $70.26
93000 Routine ekg using at least 12 leads including interpretation and report
53 40 $64.00 $10.66

Medical Specialties & State Licenses

CMS Verified: 2025-12-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3007296

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 71013618A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License OH APRN.CNP.15823

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0060635 (OH)
Medicaid State Provider ID
7100201450 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

606 Wilson Creek Rd, Lawrenceburg, IN 470251095

Phone: 8125322802

St Elizabeth Medical Center, Inc

600 Wilson Creek Rd, Lawrenceburg, IN 470252751

Phone: 8593012465

St Elizabeth Medical Center, Inc

711 Medical Village Dr, Edgewood, KY 410173439

Phone: 8593019010

Summit Medical Group Inc

711 Medical Village Dr, Edgewood, KY 410173439

Phone: 8593313353

Practice Associates & Co-Workers

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

11 Associated Practitioners
Deanna Winter , CNP

Nurse Practitioner

NPI 1043268170

Certified Nurse Practitioner

Dr. Mohamad Sinno , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1417115387

Doctor of Medicine (M.D.)

Tonya Widener , APRN

Nurse Practitioner

NPI 1487058574

Advanced Practice Registered Nurse

Krista Fowler , APRN

Nurse Practitioner

NPI 1558390559

Advanced Practice Registered Nurse

Barbara Bell , APRN

Nurse Practitioner

NPI 1598771669

Advanced Practice Registered Nurse

Dr. Jerry Lierl , MD

Internal Medicine - Cardiovascular Disease

NPI 1679541163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location December 19, 2025

Registered at 711 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173439 (Tel: 8593313353)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2025

Nurse Practitioner (License #71013618A in IN)

📍
Updated Practice Location July 31, 2023

Registered at 606 WILSON CREEK RD, LAWRENCEBURG, IN 470251095 (Tel: 8593313353)

📍
Updated Business Mailing Address July 31, 2023

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593445555)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Nurse Practitioner (License #3007296 in KY)

📍
Updated Practice Location January 23, 2023

Registered at 711 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173439 (Tel: 8593313353)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2023

Nurse Practitioner (License #APRN.CNP.15823 in OH)

📍
Updated Practice Location May 04, 2022

Registered at 4750 E GALBRAITH RD STE 125, CINCINNATI, OH 452366706 (Tel: 5134213494)

📍
Updated Business Mailing Address May 04, 2022

Registered at 4750 E GALBRAITH RD STE 125, CINCINNATI, OH 452366706 (Tel: 5134213494)

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2017

Registered at 4030 SMITH RD, STE 300, CINCINNATI, OH 452091974 (Tel: 5134213494)

📍
Updated Business Mailing Address March 13, 2017

Registered at 4030 SMITH RD, STE 300, CINCINNATI, OH 452091974 (Tel: 5134213494)

👤
Provider Name / Credentials Updated March 13, 2017

Recorded as JAYNE BODENBACH, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Nurse Practitioner (License #3007296 in KY)

NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2012

Registered at 380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 410173476 (Tel: 8593413015)

📍
Updated Business Mailing Address June 29, 2012

Registered at 380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 410173476 (Tel: 8593413015)

👤
Provider Name / Credentials Updated June 29, 2012

Recorded as JAYNE BODENBACH, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Nurse Practitioner (License #3007296 in KY)

🟢
Initial NPI Registration & Enumeration January 26, 2012

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: 1487925194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2012
Last Update: December 19, 2025
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593445555

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.