Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841425279 Individual Practitioner Female Practitioner

Jody A Bouma , NP

Nurse Practitioner • Upland, CA

Professional Overview & Biography Verified Profile Summary

Jody Bouma, NP is a registered healthcare professional specializing in Nurse Practitioner in Upland, CA. Practice services are available at 1113 ALTA AVE STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1113 Alta Ave Ste 220

Upland, CA 917862803

Telephone 9099851908
Fax 9099855583
Associated Practice Facility / Clinic
🏢 Susan Biegel Md Inc Facility NPI 1467632414

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Upland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Upland, CA (8378 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 17316

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nurse Practitioner Lic
17316 (CA)

Practice Associates & Co-Workers

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

16 Associated Practitioners
Melissa Rose Che , OTR, L

Occupational Therapist

NPI 1073027561

Occupational Therapist Registered, L

Bijal Mehta , FNP

Family Medicine

NPI 1194686337

Family Nurse Practitioner

(Deborah) 'anne' Trudel , NP

Nurse Practitioner - Family

NPI 1215212717

Nurse Practitioner

Siyu Deng

Family Medicine

NPI 1235897414
Trisna Gozali , NP-C

Nurse Practitioner - Family

NPI 1326423922

Nurse Practitioner (Certified)

Moira Cale , FNP

Nurse Practitioner - Family

NPI 1326882978

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2009

Registered at 1113 ALTA AVE STE 220, UPLAND, CA 917862803 (Tel: 9099851908)

📍
Updated Business Mailing Address May 29, 2009

Registered at 1113 ALTA AVE STE 220, UPLAND, CA 917862803 (Tel: 9099851908)

👤
Provider Name / Credentials Updated May 29, 2009

Recorded as JODY BOUMA, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2009

Nurse Practitioner (License #17316 in CA)

🟢
Initial NPI Registration & Enumeration May 29, 2009

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: 1841425279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2009
Last Update: May 29, 2009
Sole Proprietor: No

Mailing Address

1113 Alta Ave Ste 220

Upland, CA 917862803

Phone: 9099851908

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.