Caroline Bonu
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI 1104592328 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1104592328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP1039353 (DC)
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- Fax
- (202) 388-4332
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability and Empowerment Services Inc
Mbi Health Services LLC
BCB Liberty Health Care LLC
Practice addresses (Care Compare)
1 N Charles St
Suite 701
Baltimore, MD 21201-3731
Phone (202) 758-8840
4017 Minnesota Ave NE
Mbi Health Services Central Intake
Washington, DC 20019-3541
Phone (202) 388-9202
4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300
7410 Rigby PL
Elkridge, MD 21075-7287
Phone (202) 388-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915002787 | DC | Practitioner - Nurse Practitioner | 4284030370 | Reassigns benefits to 1 organization |
| I20230518003083 | MD | Practitioner - Nurse Practitioner | 4284030370 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1039353 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbi Health Services LLC | Current |
Accepting new patients | |
| BCB Liberty Health Care LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Ability & Empowerment Services Inc | Current |
Accepting new patients |
Locations
4017 Minnesota Ave NE
Washington, DC 20019
Phone (202) 388-9202
1221 Taylor St NW
Washington, DC 20011
Phone (202) 464-9200
4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320
1 N Charles St
Ste 701
Baltimore, MD 21201
Phone (202) 758-8840
7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1039353 | DC | Yes |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
7410 Rigby PL
Elkridge, MD 21075-7287
Phone (937) 422-4093
Other providers in Washington, DC
- Marilyn Krasner Bono
- Vincent H Bono
- Alyssa Angela Bonomo
- Bonstar Services LLC
- Bonstar Services LLC
- Eugene Vincent Bonventre
- Claire O'Connell Boogaard
- Alan Louis Book
- Doreen Bookard
- Kim Melissa Bookard
All providers in Washington, DC · Psychiatric/Mental Health Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.