Anna Bonicky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-005620 Issued in VA

Practice address

4094 Majestic LN
Suite 298
Fairfax, VA 22033-2104

Phone

(703) 631-1745

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 DC, VA2 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

Merit-based Incentive Payment System (MIPS)

Final score

86.88 of 100Reported as group

Quality

84.56

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.77 of 100Reported as group

Quality

93.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Fair Oaks Emergency Physicians, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fairfax, VA
  • NPI 1649203605

  DC

  Medicare reassignment
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061
  Medicare reassignment
• Virginia Emergency Medicine Assoicates, LTD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Warrenton, VA
  • NPI 1700988664
  Medicare reassignment
• Arlington County Government Department of Managment & Finance

  • Community/Behavioral Health Agency
  • Arlington, VA
  • NPI 1043280415
  NPD (past)

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1265979678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HICKORY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052511",
            "telephone_number": "571-217-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 MAJESTIC LN",
            "address_2": "SUITE 298",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332104",
            "telephone_number": "703-631-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONICKY",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christineb Bolognese, PHYSICAL THERAPIST
• Bom Care Inc (The Bom Home Cae)
• Sarah Bonanno, OTR/L
• Jean Bond, LCSW
• Bone Densitometry Center
• Maria Bonilla, LCSW
• Samantha Lynne Bonito, PT, DPT
• Dominique Bonner, DDS
• Elyssa Bonner
• Jennifer Candace Bonner, MS

• Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.