Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, May 10, 2026, Jan 8, 2021 and 1 more (4 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 5 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
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 12, 2010
Last NPPES UpdateOctober 20, 20264 updates tracked since enumeration
NPPES CertifiedOctober 20, 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 TX · 1229474✔ Licensed in OH · 0027525✔ Licensed in KY · 4058121✔ Licensed in IN · 71016143A
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN.135636-M-IV (OH)
1741 SYCAMORE AVE, Kingman, AZ 86409

Other Names 1

Former Name (1)Michael Beatty

Secondary Practice Locations 5

Location 13050 Rio Dosa DrLexington, KY 40509-1540 · Phone (859) 697-0300 · Fax (214) 774-5824
Location 2270 Walton WayHopkinsville, KY 42240-6808 · Phone (270) 886-1919 · Fax (214) 774-5824
Location 37808 Clodus Fields DrDallas, TX 75251-2206 · Phone (972) 991-9504 · Fax (214) 774-5824
Location 4683 Oriole DrEastlake, OH 44095-1609 · Phone (440) 487-6475
Location 52700 Vissing Park RdJeffersonville, IN 47130-5989 · Phone (812) 284-8000 · Fax (214) 774-5824

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

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, I20260414002519
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Bongiorno reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
1741 SYCAMORE AVENUE
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
Psychiatry
3106 SWISS AVE
Dallas, TX 75204
  • Reassigned Medicare billing, Indiana, Kentucky and Texas enrollments
  • 3 clinicians in this Medicare group
Hospitalist
833 PARK EAST BLVD
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Acute Behavioral Health Services PC
  • 34 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 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.

Social Worker (Clinical)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE, 3508 WESTERN AVE
KINGMAN, AZ 86409
Nurse Practitioner (Psychiatric/Mental Health)
1741 SYCAMORE AVE
KINGMAN, AZ 86409
Psychiatry & Neurology (Psychiatry)
1741 SYCAMORE AVE
KINGMAN, AZ 86409

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.

Which organizations bill Medicare for Michael Bongiorno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bongiorno reassigns Medicare benefits to 4 organizations: Mohave Mental Health Clinic Inc (Kingman, AZ), Signify Health, LLC (Dallas, TX), Jbutlermdphd PLLC (Dallas, TX) and Acute Behavioral Health Services, P.C. (Lafayette, IN). 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 Michael Bongiorno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bongiorno accept?

Health plans from Baylor Scott and White Health Plan, CareSource, CareSource (Common Ground Healthcare), Cigna Healthcare and UnitedHealthcare and 1 other insurer 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 October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.