Individual provider Active NPI

Bonnie Frank, NP

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1740948330
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015409 Issued in NC
Practice address
1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042
Phone
(910) 238-2050
Fax
(910) 238-2310
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 5015409 NC Primary

Addresses

Primary practice location

1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042

Mailing address

1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042
Phone (910) 238-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220121000902 NC Practitioner - Nurse Practitioner 4981096021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Headache Clinic PLLCGroup PAC ID 9436536547, 3 clinicians

Practice addresses (Care Compare)

1715 Country Club Rd
Suite B
Jacksonville, NC 28546-6042
Phone (910) 238-2050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amm Healthcare, PA CurrentSince May 22, 2022 Accepting new patients
Coastal Headache Clinic PLLC Family CurrentSince Jun 19, 2024 Accepting new patients
Jacksonville Children'S and Multispecialty Clinic, PA CurrentSince Dec 1, 2021 Accepting new patients
Family Care Clinic, P.a. PastSince Dec 1, 2021 Accepting new patients

Locations

1715 Country Club Rd
Ste B
Jacksonville, NC 28546
Phone (910) 238-2050

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1740948330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 COUNTRY CLUB RD STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466042",
            "telephone_number": "910-238-2050",
            "fax_number": "910-238-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 COUNTRY CLUB RD STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466042",
            "telephone_number": "910-238-2050",
            "fax_number": "910-238-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "BONNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.