Amy E Bonville, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP121017 Issued in ME

Practice address

575 Main St
Gorham, ME 04038-2623

Phone

(207) 839-2559

Fax

(207) 523-1135

NPI assigned

Oct 1, 2012

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 ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.bonville@int.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/5857/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.

• Martin'S Point Health Care, Inc.

  • Family Medicine Physician
  • Portland, ME
  • NPI 1366474611

  ME

  Medicare reassignment NPD
• Spectrum Healthcare Partners, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1992056972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382623",
            "telephone_number": "207-839-2559",
            "fax_number": "207-523-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVILLE",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Bombardier Benson
• Brandi Marie Bessey
• Alana Bickford Patterson
• Ashley Blanchard, LCPC-C
• Amy Blodgett, FNP-C
• Jacqueline R Bouthot, MOTR/L
• Janice C Boyko, M.ED., CCC-SLP
• John C Brewer, D.O.
• Thomas G Brewster, MD
• Dakota Karleen Warren Brichetto, OTR/L

• All providers in Gorham, ME
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.