MICHAEL BOMBARDIER
NPI 1457876559
Nurse Practitioner - Family in Petersburg, VA

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment
321C POPLAR DR, PETERSBURG, VA 23805(804) 733-5591 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2017, Aug 9, 2017 (2 updates tracked since 2017).

About Michael Bombardier NPPES

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

MICHAEL BOMBARDIER (NPI 1457876559) is an individual family provider in Petersburg, Virginia, licensed in Virginia (0024175011) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457876559
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL BOMBARDIER
Location Address321C POPLAR DRPetersburg, VA 23805-9306
Mailing Address321c Poplar DrPetersburg, VA 23805-9306 · (804) 733-5591
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 9, 2017
Last NPPES UpdateDecember 7, 20172 updates tracked since enumeration
NPI 1457876559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024175011
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001235974 (VA)
321C POPLAR DR, Petersburg, VA 23805

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 Bombardier 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 ID3779859061
PECOS Enrollment IDI20171101002317
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$9.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dietitian, Registered
321C POPLAR DR
PETERSBURG, VA 23805
Nurse Practitioner (Family)
321C POPLAR DR
PETERSBURG, VA 23805
Nurse Practitioner (Family)
321C POPLAR DR
PETERSBURG, VA 23805
Physician Assistant
321C POPLAR DR
PETERSBURG, VA 23805
Clinic/Center (Federally Qualified Health Center (FQHC))
321C POPLAR DR
PETERSBURG, VA 23805
Dentist
321C POPLAR DR
PETERSBURG, VA 23805
Pharmacy
321C POPLAR DR
PETERSBURG, VA 23805

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 Bombardier's NPI number?

The NPI number for Michael Bombardier is 1457876559. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Michael Bombardier located?

Michael Bombardier practices at 321C Poplar Dr, Petersburg, VA 23805. The listed phone number is (804) 733-5591.

What is Michael Bombardier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Bombardier enrolled in Medicare?

Yes. Michael Bombardier 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.

Is Michael Bombardier affiliated with any hospitals?

According to CMS data, Michael Bombardier is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Bombardier was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.