Individual provider Active NPI

Samantha Bonvegna, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1700664851
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R225889 Issued in MD
Practice address
4513 Philadelphia Rd
Aberdeen, MD 21001-1501
Phone
(443) 412-5005
Fax
(443) 951-6159
NPI assigned
Sep 19, 2023
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R225889 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026943 CA

Addresses

Primary practice location

4513 Philadelphia Rd
Aberdeen, MD 21001-1501

Mailing address

4513 Philadelphia Rd
Aberdeen, MD 21001-1501
Phone (443) 412-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4513 Philadelphia Rd
Aberdeen, MD 21001-1501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95026943CAMDPsychiatric/Mental Health Nurse Practitioner
R225889MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarc, LLC Psychiatric/Mental Health CurrentSince Jul 1, 2026 Accepting new patients

Locations

4513 Philadelphia Rd
Aberdeen, MD 21001
Phone (443) 412-5005

Organizations & group practices 1

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1700664851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 PHILADELPHIA RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011501",
            "telephone_number": "443-412-5005",
            "fax_number": "443-951-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 PHILADELPHIA RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011501",
            "telephone_number": "443-412-5005",
            "fax_number": "443-951-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVEGNA",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R225889",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.