Individual provider Active NPI

Jessica Bonner, APN

  • Adult Health Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1588053326
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00546900 Issued in NJ
Practice address
510 Jackson Ave
Northfield, NJ 08225-1631
Phone
(609) 383-0200
Fax
(609) 383-8352
NPI assigned
Jan 16, 2015
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00546900 NJ Primary

Addresses

Primary practice location

510 Jackson Ave
Northfield, NJ 08225-1631

Mailing address

510 Jackson Ave
Northfield, NJ 08225-1631
Phone (609) 383-0200

Other practice location 1

1401 Atlantic Ave Ste 2600
Atlantic City, NJ 08401-7027
Phone (609) 441-8036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150413000634 NJ Practitioner - Nurse Practitioner 4587982137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

1401 Atlantic Ave
Suite 1125
Atlantic City, NJ 08401-7022

1401 Atlantic Ave
Suite 1600
Atlantic City, NJ 08401-7001
Phone (609) 572-8555

1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7027
Phone (609) 572-6055

227 N Vermont Ave
FL 1 FQHC at Jefferies Tower
Atlantic City, NJ 08401-5563
Phone (609) 572-8800

510 Jackson Ave
Northfield, NJ 08225-1631
Phone (609) 383-0200

7 S Ohio Ave
Atlantic City, NJ 08401-6711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Jul 26, 2025 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Jul 26, 2025 Accepting new patients
Regional Nephrology Associates, P.a. CurrentSince Apr 1, 2015 Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200138

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: jbonner25423@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1588053326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 JACKSON AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251631",
            "telephone_number": "609-383-0200",
            "fax_number": "609-383-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JACKSON AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251631",
            "telephone_number": "609-383-0200",
            "fax_number": "609-383-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Atlantic Ave Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084017027",
            "country_code": "US",
            "telephone_number": "609-441-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JESSICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00546900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.