MRS. BONNIE MARIE LIVELY APRN-CRNA
NPI 1184700841
Nurse Anesthetist, Certified Registered in Charleston, WV
About Mrs. Bonnie Marie Lively Aprn-crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BONNIE MARIE LIVELY APRN-CRNA (NPI 1184700841) is an individual nurse anesthetist, certified registered in Charleston, West Virginia, licensed in West Virginia (APRN56320) and active in the NPI registry since October 2006. She is affiliated with Charleston Area Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Bonnie Marie Lively Aprn-crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Bonnie Lively reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Charleston Area Medical Center
Acute Care Hospitals · Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25301
CHARLESTON, WV 25301
CHARLESTON, WV 25301
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 Bonnie Lively's NPI number?
The NPI number for Bonnie Lively is 1184700841. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Bonnie Lively located?
Bonnie Lively practices at 501 Morris St, Charleston, WV 25301. The listed phone number is (304) 388-6220.
What is Bonnie Lively's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bonnie Lively enrolled in Medicare?
Yes. Bonnie Lively 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.
Which organization bills Medicare for Bonnie Lively's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Lively reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Lively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bonnie Lively accept?
Health plans from CareSource list Bonnie Lively 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 Bonnie Lively affiliated with any hospitals?
According to CMS data, Bonnie Lively is affiliated with Charleston Area Medical Center.
When was this NPI record last updated?
The NPPES record for Bonnie Lively was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Bonnie Marie Lively, APRN-CRNA · NPI 1184700841
Nurse Anesthetist, Certified Registered physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1184700841 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN56320 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 MORRIS ST, Charleston, WV 25301-1326
- **Phone:** (304) 388-6220 · **Fax:** (304) 388-3604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Charleston Area Medical Center, Inc. (NPI 1750166898, Charleston, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 27, 2019
- **Other identifiers:** Medicaid 3810001439 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1184700841) · Data from the CMS NPPES public registry.