Mary Louise Bodewes, PAC
Physician Assistant · Farmington, NM
At a glance
630 W Maple St, Farmington, NM 87401-6113
NPPES record updated Nov 8, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
630 W Maple StFarmington, NM 87401-6113
Additional reported practice locations
2727 Plaza DriveWausau, WI 54401
Phone: 7153581184 1485 Florida Rd Ste 103A
Durango, CO 813016873
Phone: 9704440260
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 1995
- CMS specialties
- Physician Assistant
Practice groups
Reported hospital affiliations
- San Juan Regional Medical Center Inc Farmington, NM
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $109.40 |
Reporting companies
| Company | Amount |
|---|---|
| ABBVIE INC. | $90.06 |
| JANSSEN BIOTECH, INC. | $19.34 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant
- Taxonomy code
- 363A00000X
- Enumeration date
- Sep 14, 2006
- Record updated
- Nov 8, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PAC
Reported taxonomies and licenses
363A00000X
License reported: 988 WI
363A00000X
License reported: PA.005343 CO
363A00000X · Primary
License reported: PA2021-0130 NM
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
630 W Maple StFarmington, NM 87401-6113
- Phone
- (505) 609-6349
Mailing address
PO BOX 844088DALLAS, TX 752844088
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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