Individual provider Active NPI

Bonnie Biggs, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Boylston, MA
National Provider Identifier
1710439054
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2298578 Issued in MA
Practice address
360 W Boylston St RM 212
West Boylston, MA 01583-2368
Phone
(978) 870-8284
NPI assigned
Nov 3, 2016
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2298578 MA Primary

Addresses

Primary practice location

360 W Boylston St RM 212
West Boylston, MA 01583-2368

Mailing address

11 Apex Dr, Suite 300a
Pmb1033
Marlborough, MA 01752-1977
Phone (978) 577-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210406001613 MA Practitioner - Nurse Practitioner 5193132371 Practice locations: Marlborough, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Marlborough, MA 01752
Phone (978) 870-8284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2298578MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Consulting, LLC Psychiatric/Mental Health CurrentSince Aug 15, 2021 Accepting new patients

Locations

360 W Boylston St
Rm 212
West Boylston, MA 01583
Phone (978) 870-8284

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1710439054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APEX DR, SUITE 300A",
            "address_2": "PMB1033",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977",
            "telephone_number": "978-577-4833",
            "fax_number": "774-389-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST RM 212",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832368",
            "telephone_number": "978-870-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGGS",
        "first_name": "BONNIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2022-09-26",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2298578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

Verify at the official NPI Registry.