TODD RYAN BOMAR PMHNP-BC
NPI 1336730084
Nurse Practitioner - Psychiatric/Mental Health in Kingsport, TN

Active since January 26, 2021PECOS EnrolledAccepts Medicare Assignment
1570 WAVERLY RD, KINGSPORT, TN 37664(423) 224-1300(423) 467-3644 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Feb 27, 2025, Jan 16, 2023 and 2 more (5 updates tracked since 2021).

About Todd Ryan Bomar Pmhnp-bc NPPES

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

TODD RYAN BOMAR PMHNP-BC (NPI 1336730084) is an individual psychiatric/mental health provider in Kingsport, Tennessee, licensed in Virginia (0024182774) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336730084
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTODD RYAN BOMARCredential: PMHNP-BC
Location Address1570 WAVERLY RDKingsport, TN 37664-2523
Mailing Address3022 Vanderbilt PlNashville, TN 37212-2500 · (615) 393-3792 · Fax (615) 334-0896
Fax(423) 467-3644
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 26, 2021
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1336730084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in VA · 0024182774 Licensed in TN · 29138 Licensed in FL · 11011297 Licensed in AR · 236371
1570 WAVERLY RD, Kingsport, TN 37664

Other Names 1

Former Name (1)Todd Ryan Infinger Aprn

Accepted 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

Todd Ryan Bomar Pmhnp-bc 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 ID2769899012
PECOS Enrollment IDI20250625000909, I20250721003962, I20260406001477
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37664 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Counselor (Professional)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Social Worker (Clinical)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD, HOLSTON COUNSELING CENTER
KINGSPORT, TN 37664
Registered Nurse
1570 WAVERLY RD, HOLSTON COUNSELING
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Psychiatry & Neurology (Psychiatry)
1570 WAVERLY RD
KINGSPORT, TN 37664

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 Todd Bomar's NPI number?

The NPI number for Todd Bomar is 1336730084. It was assigned to this individual provider in the NPPES registry on January 26, 2021. The provider is also known as Todd Ryan Infinger Aprn.

Where is Todd Bomar located?

Todd Bomar practices at 1570 Waverly Rd, Kingsport, TN 37664. The listed phone number is (423) 224-1300.

What is Todd Bomar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Todd Bomar enrolled in Medicare?

Yes. Todd Bomar 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 Todd Bomar accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Todd Bomar 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.

When was this NPI record last updated?

The NPPES record for Todd Bomar was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.