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

Mary Hyacinth Bodenheimer, NURSEPRACTITIONER-C

Individual provider Adult Health Nurse Practitioner · NPI 1154804615

Mary Hyacinth Bodenheimer, NURSEPRACTITIONER-C is a Nurse Practitioner in Bushnell, Florida. Qualified in 2018, 8 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

212 S Florida St
Bushnell, FL 33513-6703
Phone: (352) 793-2441
Fax: (352) 793-3282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN1782662 (FL)

Record details

NPI number1154804615
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESMay 28, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bushnell