Individual provider Active NPI

Ruth Abigail Bunolna, CRNP, DNP

  • Adult Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1144680281
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R175276 Issued in MD
Practice address
5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone
(410) 589-7400
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R175276 MD
Primary Care Nurse Practitioner 363LP2300X R175276 MD
Adult Health Nurse Practitioner 363LA2200X R175276 MD Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20160908000071 MD Practitioner - Nurse Practitioner 8628364213 Reassigns benefits to 3 organizations
I20220707000179 DC Practitioner - Nurse Practitioner 8628364213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andreli Professional Advising and Resources, LLCGroup PAC ID 7517385644, 2 clinicians

Practice addresses (Care Compare)

303 Adclare Rd
Rockville, MD 20850-3825
Phone (410) 917-6960

9730 Morningview Cir
Perry Hall, MD 21128-9024
Phone (410) 917-6960

Merit-based Incentive Payment System (MIPS)

Final score
91.75 of 100Reported as group
Quality
57.75
Improvement activities
40
Cost
95.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R175276MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare, LLC CurrentSince Mar 13, 2024 Accepting new patients
Apex Healthcare, LLC CurrentSince Mar 13, 2024 Accepting new patients
Andreli Professional Advising and Resources, LLC Primary Care CurrentSince Sep 3, 2020 Accepting new patients

Locations

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

6000 Bellona Ave
Baltimore, MD 21212
Phone (410) 323-4223

5009 Frankford Ave
Baltimore, MD 21206
Phone (410) 325-4000

4700 Harford Rd
Baltimore, MD 21214
Phone (410) 254-3300

1123 Belcamp Garth
Belcamp, MD 21017
Phone (410) 575-6400

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

1525 N Rolling Rd
Catonsville, MD 21228
Phone (410) 402-1200

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

3000 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-7577

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

8720 Emge Rd
Parkville, MD 21234
Phone (410) 668-1961

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

113 West Rd
Ste 201
Towson, MD 21204
Phone (410) 825-3690

111 West Rd
Towson, MD 21204
Phone (410) 828-6500

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22408/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ruth.bunolna.1@22408.direct.athenahealth.com

Organizations & group practices 4

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1144680281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453263",
            "telephone_number": "410-589-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNOLNA",
        "first_name": "RUTH ABIGAIL",
        "credential": "CRNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R175276",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R175276",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R175276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.