Nicole R Bonner, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R167886 Issued in MD

Practice address

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Phone

(301) 689-3229

Fax

(301) 689-1129

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, WV2 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

Merit-based Incentive Payment System (MIPS)

Final score

72.91 of 100Reported as group

Quality

50.88

Improvement activities

40

Cost

69.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2431/brand/1/csg/1/fhir/r4

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.

• Upmc Western Maryland Corporation

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1184769952
  Medicare reassignment NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1447976584
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Maryland, LLC

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1922598929
  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  WV

  Medicare reassignment NPD
• Upmc Western Maryland Corporation

  • Urgent Care Clinic/Center
  • Frostburg, MD
  • NPI 1952495079
  NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD
• Wolff Orthopedic and Sports Medicine Associates, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cumberland, MD
  • NPI 1215147723
  NPD
• Upmc Western Maryland Corporation

  • Psychiatry Physician
  • Cumberland, MD
  • NPI 1285779884
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1770733248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 107",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023798",
            "telephone_number": "240-964-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "fax_number": "240-964-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "216981ZFT6",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bittinger, COTA/L
• Melanie B Bittner
• Jennifer Black, OTR/L
• Montana Blank
• Blue Fields Mental Health & Wellness, LC
• Nicole Ross Bowers
• Brinton Woods of Frostburg, LLC
• Brinton Woods of Frostburg, LLC
• Lexi Broadwater, OTR/L
• Sarah Catherine Broadwater, COTA/L

• Family Nurse Practitioner in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.