MARY BONVISSUTO APRN
NPI 1316713480
Nurse Practitioner - Primary Care in Reston, VA
About Mary Bonvissuto Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BONVISSUTO APRN (NPI 1316713480) is an individual primary care provider in Reston, Virginia, licensed in Virginia (0024188379) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mary Bonvissuto Aprn 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 Reassignments
2Medicare enrollment records show Mary Bonvissuto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, VA 22303
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 158 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Tennessee enrollment
- 528 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RESTON, VA 20190
RESTON, VA 20190
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 Mary Bonvissuto's NPI number?
The NPI number for Mary Bonvissuto is 1316713480. It was assigned to this individual provider in the NPPES registry on November 30, 2023.
Where is Mary Bonvissuto located?
Mary Bonvissuto practices at 11484 Washington Plz W Ste 300, Reston, VA 20190. The listed phone number is (703) 443-2000.
What is Mary Bonvissuto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mary Bonvissuto enrolled in Medicare?
Yes. Mary Bonvissuto 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 organizations bill Medicare for Mary Bonvissuto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bonvissuto reassigns Medicare benefits to 2 organizations: Capital Healthcare PC (Alexandria, VA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Mary Bonvissuto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Bonvissuto was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mary Bonvissuto, APRN · NPI 1316713480
Primary Care physician in Reston, Virginia. Individual provider, active in the CMS NPPES registry since November 30, 2023.
## Identity
- **NPI:** 1316713480 (Entity type: Individual)
- **Enumerated:** November 30, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 0024188379 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11484 WASHINGTON PLZ W STE 300, Reston, VA 20190-4342
- **Phone:** (703) 443-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Capital Healthcare PC (NPI 1811239627, Alexandria, VA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316713480) · Data from the CMS NPPES public registry.