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

Nell Juliet Bodani, PA-C

Individual provider Physician Assistant · NPI 1699089599

Nell Juliet Bodani, PA-C is a Physician Assistant in Centreville, Maryland. Qualified in 2010, 16 years ago. Practices with University of Maryland St Joseph Medical Group LLC, a 288-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2522 Ruthsburg Rd
Centreville, MD 21617-1952
Phone: (410) 490-9240
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699089599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2010
Last updated in NPPESJanuary 25, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Maryland St Joseph Medical Group Llc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount