Active NPI
Bonnie Marie Woodruff, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP018639
- Practice address
- 110 Campus Dr
Bradford, PA 16701-1982 - Phone
- (814) 362-6535
- Fax
- (814) 817-2113
- NPI assigned
- Aug 23, 2018
- Last updated
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP018639 | PA | Primary |
Addresses
Primary practice location
110 Campus Dr
Bradford, PA 16701-1982
Mailing address
110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP018639 | Other | PA | PASBON |
Other names 1
- Ms. Bonnie Woodruff Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6535
146 E King St
Unit 1022
Lancaster, PA 17602-2832
Phone (301) 593-1315
195 E Main St
Bradford, PA 16701-1619
Phone (800) 805-6989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP018639 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Collaborative, LLC. | Psychiatric/Mental Health | Current | Accepting new patients |
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
195 E Main St
Bradford, PA 16701
Phone (814) 362-8141
220 S Main St
Ste A
Butler, PA 16001
1611 Peach St
Ste 315
Erie, PA 16501
595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249
146 E King St
Lancaster, PA 17602
Phone (302) 990-2323
15957 Conneaut Lake Rd
Ste 6
Meadville, PA 16335
2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115
323 S 60th St
Philadelphia, PA 19143
1048 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 230-9111
412 Market St
Warren, PA 16365
Phone (716) 640-0896
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Uniontown, PA
- NPI 1346731171
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bradford, PA
- NPI 1831256015
-
- Clinical Social Worker
- Warren, PA
- NPI 1023553369
Psychiatric/Mental Health
-
dba Crossroads Treatment Centers Beaver (LAB)
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1306327812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CAMPUS DR",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011982",
"telephone_number": "814-362-6535",
"fax_number": "814-817-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CAMPUS DR",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011982",
"telephone_number": "814-362-6535",
"fax_number": "814-817-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "BONNIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP018639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASBON",
"identifier": "SP018639",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "PHILLIPS",
"middle_name": "WOODRUFF",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.