Individual provider Active NPI

Holly Ann Bonner, N.P.

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1720484181
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025474 Issued in PA
Practice address
325-41 Chestnut Street
Suite 800
Philadelphia, PA 19106
Phone
(551) 295-8223
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025474 PA Primary
Family Nurse Practitioner 363LF0000X 242454 GA

Addresses

Primary practice location

325-41 Chestnut Street
Suite 800
Philadelphia, PA 19106

Mailing address

203 Pilgrim LN
Drexel Hill, PA 19026-4913

Other practice location 1

101 Greenwood Ave Ste 240
Jenkintown, PA 19046-2634
Phone (551) 295-8223

Other practice location 2

892 Prince Ave
Athens, GA 30606-2724
Phone (706) 227-2027

Other identifiers 2

IdentifierTypeStateIssuer
RN242454OtherGASTATE LICENSE NUMBER
003154602AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220517002580 PA Practitioner - Nurse Practitioner 4981911724 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

915 Old Fern Hill Rd
Suite 500
West Chester, PA 19380-3420
Phone (610) 235-4100

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Premier Home Care Inc Home health agency, Huntingdon Valley, PA, CCN 398040
  • Sigma Home Healthcare, Inc. Home health agency, Phildelphia, PA, CCN 398294
  • Deer Meadows Home Health and Support Services, LLC Home health agency, Philadelphia, PA, CCN 398121
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242454GAMDFamily Nurse Practitioner
SP025474PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC CurrentSince Sep 7, 2025 Accepting new patients
Erickson Health Medical Group of Pennsylvania, PC CurrentSince Mar 30, 2026 Accepting new patients
Ennoble HC NJ II PC CurrentSince Sep 7, 2025 Accepting new patients
Athens Family Medicine LLC CurrentSince May 1, 2024 Accepting new patients
Ennoble HC NJ PC CurrentSince Nov 18, 2024 Accepting new patients
Erickson Health Medical Group of Pennsylvania PC CurrentSince Mar 30, 2026 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Apr 11, 2022 Accepting new patients
Ennoble Hospice PA LLC Past Accepting new patients

Locations

892 Prince Ave
Athens, GA 30606
Phone (706) 227-2027

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520

101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356

1200 W Godfrey Ave
Ste 3100
Philadelphia, PA 19141
Phone (215) 444-7469

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356

10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1720484181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PILGRIM LN",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325-41 CHESTNUT STREET",
            "address_2": "SUITE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "551-295-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Greenwood Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462634",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "892 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062724",
            "country_code": "US",
            "telephone_number": "706-227-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025474",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "242454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "RN242454",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003154602A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.