STEPHANIE MARIE BODNAR RD, LDN
NPI 1174020523
Dietitian, Registered in Broomall, PA
About Stephanie Marie Bodnar Rd, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MARIE BODNAR RD, LDN (NPI 1174020523) is an individual dietitian, registered in Broomall, Pennsylvania, licensed in Pennsylvania (86051787) and active in the NPI registry since April 2018. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Marie Bodnar Rd, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Bodnar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMALL, PA 19008
BROOMALL, PA 19008
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Bodnar's NPI number?
The NPI number for Stephanie Bodnar is 1174020523. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Stephanie Bodnar located?
Stephanie Bodnar practices at 1991 Sproul Rd, Broomall, PA 19008. The listed phone number is (610) 202-3476.
What is Stephanie Bodnar's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Stephanie Bodnar enrolled in Medicare?
Yes. Stephanie Bodnar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephanie Bodnar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Bodnar reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Bodnar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Bodnar accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Stephanie Bodnar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stephanie Bodnar was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephanie Marie Bodnar, RD, LDN · NPI 1174020523
Dietitian, Registered provider in Broomall, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1174020523 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86051787 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1991 SPROUL RD, Broomall, PA 19008-3512
- **Phone:** (610) 202-3476
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174020523) · Data from the CMS NPPES public registry.