Individual provider Active NPI

Bonnie Jean Foster, FNP-C

  • Family Nurse Practitioner
  • Vermilion, OH
National Provider Identifier
1063069979
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184844 Issued in VA
Practice address
3491 Edgewater Dr
Vermilion, OH 44089-2361
Phone
(440) 433-0530
NPI assigned
Aug 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231068 AZ
Family Nurse Practitioner 363LF0000X 0024184844 VA Primary

Addresses

Primary practice location

3491 Edgewater Dr
Vermilion, OH 44089-2361

Mailing address

3491 Edgewater Dr
Vermilion, OH 44089-2361
Phone (440) 433-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20241104002462 VA Practitioner - Nurse Practitioner 6406283613 Reassigns benefits to 1 organization
I20260122002027 NC Practitioner - Nurse Practitioner 6406283613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

381 Ruin Creek Rd
Henderson, NC 27536-2932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
231068AZMDFamily Nurse Practitioner
0024184844VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-VA Physicians Group PLLC CurrentSince Mar 3, 2025 Accepting new patients
Vance Family Medicine, PA CurrentSince Dec 7, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

381 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 430-0666

6206 N Military Hwy
Ste H
Norfolk, VA 23518
Phone (757) 271-5282

1800 Frederick Blvd
#A
Portsmouth, VA 23707
Phone (757) 337-6000

1800 Frederick Blvd
Portsmouth, VA 23707
Phone (757) 393-1120

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1063069979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 EDGEWATER DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892361",
            "telephone_number": "440-433-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 EDGEWATER DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892361",
            "telephone_number": "440-433-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "231068",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.