Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jayne Bodenbach, APRN

Individual provider Nurse Practitioner · NPI 1487925194

Jayne Bodenbach, APRN is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2011, 15 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
15
Licensed in
IN, KY, OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone: (859) 331-3353
Fax: (859) 331-3326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3007296 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71013618A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.15823 (OH)

Record details

NPI number1487925194
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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