Individual provider Active NPI

Neleen Tibayan Bonilla, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1760879738
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R177132 Issued in MD
Practice address
900 Caton Avenue, Mailbox 009
Baltimore, MD 21229
Phone
(667) 234-8912
Fax
(667) 234-3556
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R177132 MD Primary

Addresses

Primary practice location

900 Caton Avenue, Mailbox 009
Baltimore, MD 21229

Mailing address

900 Caton Avenue, Mailbox 009
Baltimore, MD 21229
Phone (667) 234-8912

Other names 1

  • Neleen Bonilla Orsal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151006001412 MD Practitioner - Nurse Practitioner 0143538488 Reassigns benefits to 3 organizations
I20260529000633 DC Practitioner - Nurse Practitioner 0143538488 Reassigns benefits to 1 organization

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
Alliance Specialty Partners LLCGroup PAC ID 3274019831, 5 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

2015 E W Hwy
Silver Spring, MD 20910-2602
Phone (443) 589-7521

8901 Clement Ave
Parkville, MD 21234-2603
Phone (443) 589-7521

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R177132MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Specialty Partners LLC CurrentSince Jan 27, 2026 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 22, 2015 Accepting new patients
St Agnes Healthcare Inc Nurse Practitioner CurrentSince Aug 22, 2015 Accepting new patients
Seton Medical Group, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

3407 Wilkens Ave
Ste 440
Baltimore, MD 21229
Phone (410) 644-3890

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

2015 E West Hwy
Silver Spring, MD 20910
Phone (202) 932-8149

Interoperability endpoints

  • Direct secure messaging: neleen.orsal@sah.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1760879738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVENUE, MAILBOX 009",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "667-234-8912",
            "fax_number": "667-234-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVENUE, MAILBOX 009",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "667-234-8912",
            "fax_number": "667-234-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "NELEEN",
        "middle_name": "TIBAYAN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R177132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELEEN",
            "last_name": "ORSAL",
            "middle_name": "BONILLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.