Tracie F Bonner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

52119 Issued in WV

Practice address

122 Center St
Clay, WV 25043-7046

Phone

(304) 587-7301

Fax

(304) 587-2464

NPI assigned

Jun 5, 2009

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracie F Boner Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

West Virginia University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MSRC LLCGroup PAC ID 6800122896, 5 clinicians

Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, South Charleston, WV, CCN 517048
• Adoration Home Health Home health agency, Charleston, WV, CCN 517115
• Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
• Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracie.boner.1@4803.direct.athenahealth.com

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.

• MSRC, LLC

  dba Mountain State Recovery Center

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1194294587
  Medicare reassignment Care Compare group NPD
• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806

  Family

  Medicare reassignment Care Compare group NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Marlinton

  • Federally Qualified Health Center (FQHC)
  • Marlinton, WV
  • NPI 1164653457
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Flatwoods

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1609042266
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba CareXpress of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  Medicare reassignment
• Community Care of West Virginia, Inc.

  dba Community Care of Flatwoods

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1770917577
  Medicare reassignment
• Community Care of West Virginia, Inc.

  dba Pocahontas County High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Dunmore, WV
  • NPI 1043567456
  NPD
• Community Care of West Virginia, Inc.

  dba Little Birch Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189
  NPD
• Community Care of West Virginia, Inc.

  dba Braxton County Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1104175058
  NPD
• Community Care of West Virginia, Inc.

  dba Roanoke Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Roanoke, WV
  • NPI 1104292168
  NPD

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

• Amedisys West Virginia, L.L.C.

  dba Adoration Home Health

  • Home Health Agency
  • Charleston, WV
  • NPI 1700834553
  Care Compare affiliation
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • South Charleston, WV
  • NPI 1356370639
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • Psychiatric Hospital Unit
  • Charleston, WV
  • NPI 1265421226
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1427904002
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1508712118
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • Rehabilitation Hospital Unit
  • Charleston, WV
  • NPI 1639168693
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1689520264
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Fayetteville, WV
  • NPI 1932055589
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1952390239
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  dba CAMC Pharmacy #3

  • Community/Retail Pharmacy
  • Charleston, WV
  • NPI 1134518186

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1679709554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CENTER ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250437046",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CENTER ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250437046",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041525",
            "country_code": "US",
            "telephone_number": "304-720-2345",
            "fax_number": "304-720-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "TRACIE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "52119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "BONER",
            "middle_name": "F",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anita Sue Blankenship
• Mavis Jean Bleigh
• Michelle Lea Bodkins
• Abigail Rene Boggs
• Daisy Marie Bollinger
• Bowen & Bowen, PLLC (Bowen Dental Associates)
• Gary M Bowen II, D.D.S.
• Stacy L Bowen, D.D.S
• Jennifer Bragg
• Patricia L Bragg

• Family Nurse Practitioner in Clay, WV
• Providers in Clay, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.