Individual provider Active NPI

Virginia Ann Bonnette, ANP

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1316041445
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A02996ANP Issued in AR
Practice address
1558 Airport Rd Ste E
Hot Springs, AR 71913
Phone
(501) 701-9395
Fax
(855) 301-9799
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A02996ANP AR Primary

Addresses

Primary practice location

1558 Airport Rd Ste E
Hot Springs, AR 71913

Mailing address

1558 Airport Rd Ste E
Hot Springs, AR 71913-7971
Phone (501) 701-9395

Other practice location 1

1558 Airport Rd Ste E
Hot Springs, AR 71913
Phone (501) 701-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200114001079 KY Practitioner - Nurse Practitioner 3870592678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Geriatrics and Palliative Medicine, PSCGroup PAC ID 6103954847, 6 clinicians

Practice addresses (Care Compare)

2202 Buechel Ave
Suite 105
Louisville, KY 40218-2672
Phone (502) 456-0494

Merit-based Incentive Payment System (MIPS)

Final score
94.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
48.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A02996ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Geriatrics and Palliative Medicine, PSC Family CurrentSince Nov 16, 2019 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients
Arkansas Pain Centers LTD Past Accepting new patients

Locations

2615 Dixie Hwy
Louisville, KY 40216
Phone (502) 338-2964

2210 Buechel Ave
Ste 105
Louisville, KY 40218

4200 Gardiner View Ave
Ste 101
Louisville, KY 40213

2202 Buechel Ave
Ste 105
Louisville, KY 40218
Phone 50245604944010

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1316041445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 AIRPORT RD STE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137971",
            "telephone_number": "501-701-9395",
            "fax_number": "855-301-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 AIRPORT RD STE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-701-9395",
            "fax_number": "855-301-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1558 Airport Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "71913",
            "country_code": "US",
            "telephone_number": "501-701-9395",
            "fax_number": "855-301-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A02996ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.