Individual provider Active NPI

Mark Daniel Bonin, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1619220019
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4719 Issued in AZ
Practice address
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone
(520) 874-2000
NPI assigned
Oct 23, 2012
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 AP4719 AZ Primary

Addresses

Primary practice location

2800 E Ajo Way
Tucson, AZ 85713-6204

Mailing address

3509 S Prudence Rd
Tucson, AZ 85730-3415
Phone (507) 210-4322

Other practice location 1

2720 S 6th Ave
Tucson, AZ 85713-4701
Phone (520) 475-5418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN2 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
I20121231000205 AZ Practitioner - Nurse Practitioner 9830342773 Reassigns benefits to 2 organizations
I20140317002045 MN Practitioner - Nurse Practitioner 9830342773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians
Advanced Comfort HealthGroup PAC ID 0042687550, 8 clinicians
Heavens Urgent Care LLCGroup PAC ID 7416204474, 6 clinicians

Practice addresses (Care Compare)

2720 S 6TH Ave
Tucson, AZ 85713-4701
Phone (520) 475-5418

3820 N Oracle Rd
Tucson, AZ 85705-3227
Phone (520) 200-6707

7900 International Dr
Suite 300
Bloomington, MN 55425-2562
Phone (612) 314-8904

95 S Idaho Rd
Suite 140
Apache Junction, AZ 85119-0006
Phone (480) 444-1160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Heavens Medical PLC CurrentSince Apr 19, 2022 Accepting new patients
Fairview Clinics CurrentSince Jun 13, 2015 Accepting new patients
Fairview Express Care CurrentSince Jun 13, 2015 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jun 13, 2015 Accepting new patients
Heavens Urgent Care LLC CurrentSince Apr 19, 2022 Accepting new patients
Fairview Health Services CurrentSince Jun 13, 2015 Accepting new patients
Presence Telehealth PLLC CurrentSince Mar 1, 2024 Accepting new patients
Advanced Comfort Health Family CurrentSince Sep 1, 2025 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Nurse Practitioner PastSince Apr 1, 2024 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Medexpress Urgent Care Minnesota P.C. PastSince Sep 19, 2016 Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

95 S Idaho Rd
Ste 140
Apache Junction, AZ 85119
Phone (480) 444-1160

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

7900 International Dr
Ste 300
Minneapolis, MN 55425
Phone (612) 314-8865

1232 S Oak Ave
Owatonna, MN 55060
Phone (651) 508-0936

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

5507 Chateau Rd NW
Rochester, MN 55901
Phone (507) 286-8870

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21922/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1619220019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 S PRUDENCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303415",
            "telephone_number": "507-210-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857134701",
            "country_code": "US",
            "telephone_number": "520-475-5418",
            "fax_number": "520-300-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIN",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.