Marie-Angele Bodog

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R206039 Issued in MD

Practice address

8901 Clement Ave
Parkville, MD 21234-2603

Phone

(240) 418-5648

NPI assigned

Apr 1, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Medical Services PCGroup PAC ID 1355863952, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.35 of 100Reported as group

Quality

53.9

Promoting interoperability

99

Improvement activities

40

Cost

71.42

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthdrive Medical Services, PC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1588469548

  DC, Family

  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  DC, Family

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1750021192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 SCHUBERT DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046881",
            "telephone_number": "240-418-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CLEMENT AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342603",
            "telephone_number": "240-418-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODOG",
        "first_name": "MARIE-ANGELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narender Pal Singh Bharaj, M.D.
• Black Nurses Rock - Baltimore. MD Chapter
• Rhoda Veronica Blackwood
• Wayne Everthan Blackwood
• Bless Up Home Health Care LLC
• Body and Soul Wellness Center
• Bonte Inc (Bonte Healthcare)
• Olga Louise Booth, MS, NCC, LGPC
• Toni Bossalina, LCSW-C
• Kionna Takisha Bowles, LCSW-C

• Family Nurse Practitioner in Parkville, MD
• Providers in Parkville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.