Mariya Bondarenko

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145646 Issued in TX

Practice address

2540 N Galloway Ave Ste 204
Mesquite, TX 75150-4813

Phone

(469) 919-4004

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

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 TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Management of North Dallas, PAGroup PAC ID 4880985415, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FADECD/Endpoint/FADECD

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.

• Pain Management of North Dallas, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Frisco, TX
  • NPI 1376998146
  Medicare reassignment Care Compare group NPD
• North Dallas Pain Management Center, P.a.

  dba Comprehensive Pain Management Center

  • Pain Medicine Physician
  • Lewisville, TX
  • NPI 1982637088
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1255925079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE STE 204",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504813",
            "telephone_number": "469-919-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE STE 204",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504813",
            "telephone_number": "469-919-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDARENKO",
        "first_name": "MARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Hands Cleaning & Private Sitting LLC
• Sonya Vernice Blocker, CRNA
• BMB Associates LLC (North Texas Digital Imaging)
• Hal Board, DDS
• Jessica Nicole Boggs, APRN
• Chantelle P Boone, ARNP
• Glenna Beth Bornman, OTR
• Stephen Edward Boswank, M.D.
• Botag Home Healthcare Services Inc.
• Emily Bounds

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.