Benita C Bocanegra

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024179521 Issued in VA

Practice address

1424 Old Station Loop
Hardy, VA 24101-3600

Phone

(540) 765-7718

NPI assigned

Jun 26, 2020

Last updated

Nov 9, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Old Mission Wound Care Virginia PLLCGroup PAC ID 9739629494, 7 clinicians

Friendship Physician Clinic IncGroup PAC ID 2567874571, 8 clinicians

Provider Partners Care Management LPGroup PAC ID 9335379270, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health (Roanoke) Home health agency, Roanoke, VA, CCN 497608
• Carilion Home Care Services - Roanoke Home health agency, Roanoke, VA, CCN 497258
• Carilion Home Care Franklin Home health agency, Rocky Mount, VA, CCN 497038
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Friendship Physician Clinic Inc

  dba Geriatric Care Associates of Roanoke

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1366041170
  Medicare reassignment Care Compare group NPD
• Old Mission Wound Care Virginia PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1255170627

  VA

  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  VA

  Medicare reassignment Care Compare group NPD
• Blue Ridge Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roanoke, VA
  • NPI 1437137734
  Medicare reassignment NPD
• Dr Edward a Bauchou Jr DC PC

  • Chiropractor
  • Lynchburg, VA
  • NPI 1023376811
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carilion Franklin Memorial Hospital

  dba Carilion Clinic Home Care

  • Home Health Agency
  • Rocky Mount, VA
  • NPI 1336132364
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Clinic Home Health

  • Home Health Agency
  • Roanoke, VA
  • NPI 1073506002
  Care Compare affiliation
• Eh Home Health of Roanoke, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Roanoke, VA
  • NPI 1083158950
  Care Compare affiliation

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1962029827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 OLD STATION LOOP",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013600",
            "telephone_number": "540-765-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 OLD STATION LOOP",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013600",
            "telephone_number": "540-765-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "BENITA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024179521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Amick, MD
• Sarah Baldwin, PHARMD
• Kristen Bane, PT
• Blue Ridge Hearing Group (Miracle Ear)
• Blue Ridge Optical
• Brags Consulting LLC
• Brigette Funk LLC
• Margaret Westray Campbell, M.S. CCC-SLP
• Carilion Giles Community Hospital (Carilion Clinic Internal Medicine)
• Carilion Healthcare Corporation (Carilion Clinic Internal Medicine)

• Acute Care Nurse Practitioner in Hardy, VA
• Providers in Hardy, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.