Individual provider Active NPI

Bonnie Marie Woodruff, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradford, PA
National Provider Identifier
1306327812
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP018639 Issued in PA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SP018639OtherPAPASBON

Other names 1

  • Ms. Bonnie Woodruff Phillips Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224001485 PA Practitioner - Nurse Practitioner 3375958390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
The Guidance CenterGroup PAC ID 6103864681, 13 clinicians
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

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

LicenseStateTypeSpecialty
SP018639PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Collaborative, LLC. Psychiatric/Mental Health CurrentSince Jul 12, 2024 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Mar 28, 2025 Accepting new patients
Psychogeriatric Services LLC CurrentSince Oct 1, 2025 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Mar 28, 2025 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.

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

Verify at the official NPI Registry.