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MICHAEL P BONGIORNO NP
NPI 1437475753
Nurse Practitioner - Psychiatric/Mental Health in Kingman, AZ

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
1741 SYCAMORE AVE, KINGMAN, AZ 86409(928) 757-8111 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2026, Jan 8, 2021, Sep 16, 2020 (3 updates tracked since 2020).

About Michael P Bongiorno Np NPPES

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

MICHAEL P BONGIORNO NP (NPI 1437475753) is an individual psychiatric/mental health provider in Kingman, Arizona, licensed in Arizona (AP246670) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437475753
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL P BONGIORNOCredential: NP
Location Address1741 SYCAMORE AVEKingman, AZ 86409-0927
Mailing Address3798 E Lass AveKingman, AZ 86409-0817 · (440) 487-6475
Phone(928) 757-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 12, 2010
Last NPPES UpdateMay 10, 20263 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
✔ NPI 1437475753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · AP246670✔ Licensed in OH · 0027525✔ Licensed in IN · 71016143A
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN.135636-M-IV (OH)
1741 SYCAMORE AVE, Kingman, AZ 86409
Open in Google Maps ↗

Other Names 1

Former Name (1)Michael Beatty

Secondary Practice Locations 2

Location 1683 Oriole DrEastlake, OH 44095-1609 · Phone (440) 487-6475
Location 27808 Clodus Fields DrDallas, TX 75251-2206 · Phone (972) 991-9504 · Fax (214) 774-5824

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Michael P Bongiorno Np 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 ID1052724960
PECOS Enrollment IDI20250529000675
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 86409 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JETTIE A. BLANTON MSW, LCSW
Social Worker (Clinical)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
MRS. DEBORAH M RADFORD RN, NPP, M.SC(A)
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
EMMERLL RACKLEY NP
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE, 3508 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
MICHELLE REID
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 757-7872
CELIA RODRIGUEZ M.D.
Psychiatry & Neurology (Psychiatry)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111

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 Michael Bongiorno's NPI number?

The NPI number for Michael Bongiorno is 1437475753. It was assigned to this individual provider in the NPPES registry on April 12, 2010. The provider is also known as Michael Beatty.

Where is Michael Bongiorno located?

Michael Bongiorno practices at 1741 Sycamore Ave, Kingman, AZ 86409. The listed phone number is (928) 757-8111.

What is Michael Bongiorno's specialty?

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

Is Michael Bongiorno enrolled in Medicare?

Yes. Michael Bongiorno 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 Michael Bongiorno accept?

Health plans from CareSource list Michael Bongiorno 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 Michael Bongiorno was last updated on May 10, 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.