Nikita N Bonner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177971 Issued in VA

Practice address

9202 Center Oak CT
Mechanicsville, VA 23116-2744

Phone

(804) 730-0432

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hampton Mental Health Associates, IncGroup PAC ID 9133113996, 14 clinicians

Peter Breslin MD LLCGroup PAC ID 0345781142, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hampton Mental Health Associates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampton, VA
  • NPI 1356432801
  Medicare reassignment Care Compare group NPD
• Peter Breslin MD LLC

  • Psychiatry Physician
  • Glen Allen, VA
  • NPI 1073070298

  Family

  Medicare reassignment Care Compare group NPD
• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1174156277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MECHANICSVILLE TURNPIKE",
            "address_2": "PO UNIT BOX #471",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 CENTER OAK CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162744",
            "telephone_number": "804-730-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3974 Springfield Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230604119",
            "country_code": "US",
            "telephone_number": "804-495-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "NIKITA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Secours-Virginia Healthsource Inc
• Bon Secours-Virginia Healthsource Inc
• Mark C Bond, DDS
• Linda Bonham, P.T.
• Anna Kristina Bonner, F.N.P-B.C.
• Bonsecours
• Johnny Bookhardt Jr.
• Kristen Boothby, FNP-C
• Lindsey Borgsmiller, DPT
• Margaret Jones Bost, CCC-SLP

• Family Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.