STEPHAN JOHN BODNAR – Certified Registered Nurse Anesthetist, NPI 1366051005
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA
Provider Addresses for STEPHAN JOHN BODNAR
947 MYERS ST APT 449
RICHMOND, VA 232304836
Phone: (313) 580-1040
Type: Mailing
3142 HILLANDALE RD APT 304
DURHAM, NC 277052291
Phone: (313) 580-1040
Type: Mailing
10800 MIDLOTHIAN TPKE STE 265
NORTH CHESTERFIELD, VA 232354700
Phone: (804) 594-2622
Type: Location
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: (540) 741-7614
Type: Location
101 Hospital Center Blvd
Stafford, VA 225546200
Phone: (540) 741-7614
Type: Location
1201 Sam Perry Blvd Ste 101
Fredericksburg, VA 224014490
Phone: (540) 741-7614
Type: Location
2114 WINNWOOD RD
HENRICO, VA 232286046
Phone: (313) 580-1040
Type: Mailing
7101 JAHNKE RD
RICHMOND, VA 232254017
Phone: (804) 483-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-12-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $19 |
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: 2020-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201112002327 | I | Certified Registered Nurse Anesthetist (Crna) | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
Reviews
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