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

Q: 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.

Q: What is Michael Bombardier's specialty?

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

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: October 18, 2026.

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

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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

Phone(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

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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 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Bombardier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Virginia Health Services Inc

Same address

Federally Qualified Health Center (FQHC)

321C POPLAR DR
Petersburg, VA 23805

Reassigned Medicare billing, Virginia enrollment
129 clinicians in this Medicare group

NPI 1588878474 (804) 733-5591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DEBORAH VANDERPOOL RD, CDE

Dietitian, Registered