Individual provider Active NPI

Helen Bonilla

  • Women's Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1578275152
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R214958 Issued in MD
Practice address
77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893
Phone
(301) 414-2300
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R214958 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893

Mailing address

20507 Lowfield Dr
Germantown, MD 20874-2817
Phone (240) 313-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230318000070 MD Practitioner - Nurse Practitioner 9830563667 Reassigns benefits to 2 organizations
I20230318000072 DC Practitioner - Nurse Practitioner 9830563667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians
Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians

Practice addresses (Care Compare)

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1899
Phone (301) 414-2300

77 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4893
Phone (301) 414-2300

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R214958MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Jan 1, 2023 Accepting new patients
Maryland Physicians Edge LLC Women's Health CurrentSince Feb 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste Hj
Frederick, MD 21702

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

Interoperability endpoints

  • Direct secure messaging: helen.bonilla.1@17360.direct.athenahealth.com

Organizations & group practices 4

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1578275152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20507 LOWFIELD DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742817",
            "telephone_number": "240-313-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-414-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "HELEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R214958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.