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MR. RONALD AUGUST BONAVENTURA JR.
NPI 1063880573
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
90.09/100
CMS Quality Rating
22432 HARPER LAKE AVE, SAINT CLAIR SHORES, MI 48080(586) 557-8398 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ronald August Bonaventura Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD AUGUST BONAVENTURA JR. (NPI 1063880573) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704286546) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063880573
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RONALD AUGUST BONAVENTURA JR.
Location Address22432 HARPER LAKE AVESaint Clair Shores, MI 48080-4041
Mailing Address22432 Harper Lake AveSaint Clair Shores, MI 48080-4041
Phone(586) 557-8398
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
✔ NPI 1063880573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704286546
22432 HARPER LAKE AVE, Saint Clair Shores, MI 48080
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronald August Bonaventura Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860792645
PECOS Enrollment IDI20151201000385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Bonaventura's NPI number?

The NPI number for Ronald Bonaventura is 1063880573. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Ronald Bonaventura located?

Ronald Bonaventura practices at 22432 Harper Lake Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 557-8398.

What is Ronald Bonaventura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ronald Bonaventura enrolled in Medicare?

Yes. Ronald Bonaventura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Bonaventura accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Ronald Bonaventura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ronald Bonaventura affiliated with any hospitals?

According to CMS data, Ronald Bonaventura is affiliated with Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Ronald Bonaventura was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.