Individual provider Active NPI

Anna Katarzyna Bonney, CRNP-F

  • Family Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1467699561
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R132984 Issued in MD
Practice address
6095 Marshalee Dr
Elkridge, MD 21075-6053
Phone
(410) 336-0623
NPI assigned
Jan 11, 2009
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 R132984 MD Primary

Addresses

Primary practice location

6095 Marshalee Dr
Elkridge, MD 21075-6053

Mailing address

600 Ridgely Ave
Ste 231
Annapolis, MD 21401-1092
Phone (410) 336-0623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20111020000282 DC Practitioner - Nurse Practitioner 3678745403 Reassigns benefits to 1 organization
I20111024000052 MD Practitioner - Nurse Practitioner 3678745403 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R132984MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health & Wellness Center LLC CurrentSince May 1, 2015 Accepting new patients
Aditya Chopra, MD, PC CurrentSince Aug 7, 2011 Accepting new patients

Locations

600 Ridgely Ave
Ste 231
Annapolis, MD 21401
Phone (410) 266-8116

15005 Health Center Dr
Bowie, MD 20716
Phone (301) 805-6070

9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290

Organizations & group practices 2

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": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1467699561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 231",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011092",
            "telephone_number": "410-336-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 MARSHALEE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756053",
            "telephone_number": "410-336-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEY",
        "first_name": "ANNA",
        "middle_name": "KATARZYNA",
        "name_prefix": "Mrs.",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-11",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R132984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.