Individual provider Active NPI

Cristina L. Bonilla-Cooke, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1003897216
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000444 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Nov 7, 2005
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003273 MD
Physician Assistant 363A00000X C5-0000444 DE Primary

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Other practice location 1

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Other names 1

  • Cristina L. Bonilla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, 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

Enrollment IDStateProvider typePAC IDDetails
I20050129000160 DE Practitioner - Physician Assistant 3072563782 Reassigns benefits to 2 organizations
I20090826000139 MD Practitioner - Physician Assistant 3072563782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

1 Chestnut Hill PLZ
Suite C
Newark, DE 19713-2761
Phone (302) 455-2730

101 N E PLZ
Christianacare Gohealth Urge
North East, MD 21901-3633
Phone (410) 656-7867

1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone (302) 267-7534

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

550 S College Ave
115 Christianacare Gohealth Urgent Care
Newark, DE 19713-1324
Phone (302) 273-0727

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000444DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Jan 18, 2022 Accepting new patients
Christiana Care Health Services, Inc Physician Assistant Past Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
First State Orthopaedics, PA Past Accepting new patients
Exigence New Jersey, LLC Past Accepting new patients
Modern Maturity Center PastSince Jan 15, 2023 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4745 Stanton Ogletown Rd
Ste 231
Newark, DE 19713
Phone (302) 623-3450

Interoperability endpoints

  • Direct secure messaging: cristina.bonillacooke@ghuccc.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1003897216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA-COOKE",
        "first_name": "CRISTINA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003273",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "BONILLA",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.