MICHELLE E BODIE (PAC) – Physician Assistant, NPI 1376541938

MICHELLE E BODIE (PAC) is a healthcare provider. based in Sandusky, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 50001548 (OH). The NPI Number for MICHELLE E BODIE (PAC) is 1376541938

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE E BODIE (PAC)
NPI
1376541938
Phone
(419) 626-6700
Address
2500 W STRUB RD
Enumeration Date
8 July 2005
Last Update Date
24 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196266700
Graduation Year
2000 (26 years ago)
PAC ID
1557343969
Group Practice PAC ID
7113973041
Professional Enrollment ID
I20040601000888
Address ID
OH448705390SA2500XRDXX418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MICHELLE E BODIE (PAC)

  • 2500 W STRUB RD

    SUITE 330

    SANDUSKY, OH 448705390

    Phone: (419) 626-6700

    Fax: (419) 626-6710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,666.

Total Amount is formed as General ($1,666) + Research ($0) + Ownership ($0) = $1,666.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($444).

Total Amount

$1,666

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040601000888IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,016418$0
99213Established patient office or other outpatient visit, 20-29 minutes797669$0
17000Destruction of precancer skin growth, 1 growth692560$0
17110Destruction of skin growth, 1-14 growths314264$0
11102Biopsy of related skin growth, first growth244222$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113973041View full group profile
NameSpecialtyState
Physician AssistantIL
-OH
Physician AssistantOH
Physician AssistantOH
D E R M A T O L O G YOH
Physician AssistantOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH
Physician AssistantOH
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

What federal number belongs to MICHELLE E BODIE (PAC)?
The federal identifier for MICHELLE E BODIE (PAC) is NPI 1376541938.
Is MICHELLE E BODIE (PAC) currently active in the NPI registry?
CMS-published data lists MICHELLE E BODIE (PAC) as an active registrant.
Can you summarize MICHELLE E BODIE (PAC)'s specialty in plain language?
Clinically, the directory lists MICHELLE E BODIE (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MICHELLE E BODIE (PAC)'s primary listing?
We display Sandusky, Ohio because that is what the record indicates for MICHELLE E BODIE (PAC).
Is MICHELLE E BODIE (PAC) a real provider?
This page reflects official NPPES data for NPI 1376541938. Always confirm identity and privileges with the practice and licensing boards.

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